MARTE ELLA JOHANNESSEN

LONE TREE, CO
NPI1376219501
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CO  PA.0006871)
Enumeration Date2021-08-18
Last Update Date2025-08-18
Business Address
MARTE ELLA JOHANNESSEN PA
9695 S YOSEMITE ST STE 324
LONE TREE, CO 80124-2890
Phone number: 303-706-9054
Mailing Address
MARTE ELLA JOHANNESSEN PA
PO BOX 35380
LAS VEGAS, NV 89133-5380
Phone number: 719-463-5600
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