MARY JOHNSON

Contractor

Active Individual
NPI: 1508041997

Practice Address

6404 SW 63RD LN
Gainesville, FL 32608

Phone: (352) 374-7107

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes -

Frequently Asked Questions

NPI 1508041997 is the National Provider Identifier for MARY JOHNSON, a Contractor provider located in Gainesville, FL. This NPI was enumerated on January 3, 2008.
MARY JOHNSON practices at 6404 SW 63RD LN, Gainesville, FL 32608.

Quick Facts

NPI
1508041997
Type
Individual
Enumerated
Jan 3, 2008
Last Updated
Jan 3, 2008

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