| Doctor Name: | MRS. MARY ANNE JOHNSON |
| NPI Number: | 1386951465 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PAC |
| License Number: | PA21162 |
| Business Practice Address: | 1433 N Acacia Ave Reedley, CA - 936542102 |
| Business Phone Number: | 5593913100 |
| Business Fax Number: | 5596377550 |
| Mailing Address: | 1479 W Lacey Blvd, HANFORD |
| State: | CA |
| Postal Code: | 932305906 |
| Phone Number: | 5595834617 |
| Fax Number: | 5595834625 |
| NPI Enumeration Date: | 09/09/2010 |
| NPI Last Update Date: | 08/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA21162 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |