Provider Demographics
NPI:1245629336
Name:JOHNSON, VEDA (ND)
Entity type:Individual
Prefix:DR
First Name:VEDA
Middle Name:
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9811 GREENBELT RD STE 207
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-6241
Mailing Address - Country:US
Mailing Address - Phone:301-552-2621
Mailing Address - Fax:301-552-2621
Practice Address - Street 1:9811 GREENBELT RD STE 207
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-6241
Practice Address - Country:US
Practice Address - Phone:301-552-2621
Practice Address - Fax:301-552-2621
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-13
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath