Joanann Rosetta Johnson

NPI 1306099163 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1306099163
Gender Female
Enumeration Date 10/24/2008
Last Updated 10/24/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
23218 MERRICK BLVD
LAURELTON NY, 11413-2115, US
Phone (718) 528-3432
Fax
Business Location
23218 MERRICK BLVD
LAURELTON NY, 11413-2115, US
Phone (718) 528-3432
Fax
Toxanomy
Taxonomy Code 164W00000X
License State New York
License Number 264630
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According to our database, Ms. Joanann Rosetta Johnson NPI is 1306099163, taxonomy code is 164W00000X and license number is 264630, license state is located at New York. Joanann Rosetta Johnson physically located at 23218 Merrick Blvd, Laurelton NY, 11413-2115. NPI Number Joanann Rosetta Johnson has the Individual type.

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1306099163 NPI number is provided on an as is basis without warranty of any kind. 1306099163 is maintained by the National Plan & Provider Enumeration System. The contents of Joanann Rosetta Johnson are for informational purposes only.