LATIESE JOHNSON

GOODYEAR, AZ
NPI1275072035
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2279G1100X Respiratory Therapist, Registered, General Care
(Licence: AZ  011925)
Enumeration Date2017-02-13
Last Update Date2017-02-13
Business Address
-- LATIESE JOHNSON RRT
16450 W VAN BUREN ST APT 2017
GOODYEAR, AZ 85338-1609
Phone number: 313-482-8185
Mailing Address
-- LATIESE JOHNSON RRT
16450 W VAN BUREN ST APT 2017
GOODYEAR, AZ 85338-1609
Phone number: 313-482-8185
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