NPI 1568556660
Andrea Johansen, DOM
Practice location
- Address
- 2610 Trinity Dr Suite 14, Los Alamos, NM 87544
- Phone
- (505) 663-1339
- Fax
- (505) 662-7371
Registered specialties
Acupuncturist
Primary
Registry record
- NPI
- 1568556660
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 3 Oct 2006
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.