NICOLE MARIE JOHNSON

MIDVALE, UT
NPI1033414248
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  8975784-1206)
Enumeration Date2011-01-19
Last Update Date2020-06-23
Business Address
MISS NICOLE MARIE JOHNSON PA-C
7302 S BINGHAM JUNCTION BLVD
MIDVALE, UT 84047-4804
Phone number: 801-442-5502
Mailing Address
MISS NICOLE MARIE JOHNSON PA-C
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-442-5502