| NPI | 1619196482 |
|---|---|
| Professional Name | MARLENA RAE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: CO 97142) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2007-07-08 |