IndividualActive
Claudette Johnson
NPI 1174031884 · Contractor · Maricopa, AZ
Provider details
- NPI number
- 1174031884
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 8723402 (AZ)
Specialties & taxonomies
Other Service Providers
Practice location
21181 N Grantham Rd
Maricopa, AZ 85138-6655
Phone: (719) 464-9552
Approximate (ZIP-level) locationGet directions
Mailing address
21181 N Grantham Rd
Maricopa, AZ 85138-6655
Registry dates
- Enumerated
- 2018-01-16
- Last updated
- 2018-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.