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Constance Johnson
NPI 1932413374 · on the registry since 2010 · sole proprietor
Practice
- Address
- 6134 Wayne Ave
Apt. 2
Philadelphia, PA 19144 - Phone
- (267) 625-4391
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-03-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania