JENNIFER L JOHNSON

DES MOINES, IA
NPI1821612813
Former NameJENNIFER DETMAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IA  R-11865)
Enumeration Date2020-06-04
Last Update Date2020-06-04
Business Address
JENNIFER L JOHNSON DO
1111 6TH AVE
DES MOINES, IA 50314-2613
Phone number: 515-643-2630
Mailing Address
JENNIFER L JOHNSON DO
PO BOX 1475
DES MOINES, IA 50305-1475
Phone number: 515-643-2630
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