| NPI | 1376307249 |
|---|---|
| Former Name | RACHEL MARIE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CA 532) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA 23414) |
| Enumeration Date | 2024-02-09 |
| Last Update Date | 2024-02-09 |