MATTIE RAYDON JOHNSON

TORRINGTON, WY
NPI1003537564
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WY  44901)
Enumeration Date2022-09-02
Last Update Date2022-09-02
Business Address
MATTIE RAYDON JOHNSON
625 ALBANY AVE
TORRINGTON, WY 82240-1530
Phone number: 307-532-2107
Mailing Address
MATTIE RAYDON JOHNSON
625 ALBANY AVE
TORRINGTON, WY 82240-1530
Phone number: