Nicole Johnson
Nicole Johnson is an Adult Companion in Mesa, Arizona. Practices as a sole proprietor. Licensed in Arizona.
- Licensed in
- AZ
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
4225 E University Dr Apt 128Mesa, AZ 85205-7092
Phone: (719) 321-5099
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Specialties & licences
| Adult Companion (primary) | Taxonomy 372600000X |
|---|---|
| Adult Companion | Taxonomy 372600000X · Licence LIC23-07617 (AZ) |
Record details
| NPI number | 1457096885 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 29, 2022 |
| Last updated in NPPES | February 5, 2024 |
| Certification date | February 5, 2024 |
| Mailing address | 1361 S Greenfield Rd Apt 1059, Mesa, AZ 85206-3391 |
Other providers in Mesa
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