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Sandra Deniece Johnson

Technician, Personal Care Attendant in Soldotna, AK. Individual provider (NPI-1).

NPI number1962019786
StatusActive
Last updated in NPPESSep 25, 2020

Details

NPI
1962019786
Entity type
Individual (NPI-1)
Name
Sandra Deniece Johnson
Sex
Female
Sole proprietor
No
Enumeration date
Sep 25, 2020
Certification date
Sep 25, 2020
Last updated
Sep 25, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747P1801X Technician, Personal Care Attendant1584304AKYes

Practice location

44661 Sterling Hwy Ste A
Soldotna, AK 99669-7900

Phone 907-929-5826 · Fax 907-420-0530

Mailing address

44661 Sterling Hwy Ste A
Soldotna, AK 99669-7900

Phone 907-929-5826 · Fax 907-420-0530

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