Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LATIESE JOHNSON, RRT
Active Sole ProprietorLATIESE JOHNSON, RRT is a 2279G1100X healthcare provider located in GOODYEAR, Arizona. NPI 1275072035 is currently active in the NPPES registry. Verify at CMS.
2279G1100X · GOODYEAR, AZ
Registration Details
- NPI Number
- 1275072035
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 13, 2017 (9.4818784509178 yrs)
- Last Updated
- Feb 13, 2017
- License
-
011925 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
16450 W VAN BUREN ST APT 2017GOODYEAR, AZ, 853381609Browse AZ providers · Browse ZIP 85338
- Phone
- 3134828185
- Primary Specialty
-
2279G1100X
2279G1100X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.