| NPI | 1093888349 |
|---|---|
| Former Legal Business Name | ANGELA P JOHNSON LLC |
| Entity Type | Organization |
| Authorized Contact | ANGELA PORCH JOHNSON Owner Member 651-270-1621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MN 2955) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |