Most Relevant Information
Provider Data
| NPI Number: | 1003481870 |
| Provider Name: | MONICA JOHNSON |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/24/2021 |
| Last Updated: | 05/24/2021 |
Provider Practice Location
2504 CAMINO ENTRADA
SANTA FE
NM
875074851
Practice Location Phone/Fax
| Phone: | 5059348320 |
| Fax: |
Provider Mailing Location
211 CHAPARRAL LOOP SE
RIO RANCHO
NM
871244143
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |