| NPI | 1881993681 |
|---|---|
| Former Name | VALERIE ANN JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: OR H5793) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA 13100) |
| 124Q00000X Dental Hygienist (Licence: WA DH 00005795) | |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2011-03-18 |