THORNELL JOHNSON

LA PLATA, MD
NPI1063203099
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MD  LP53308)
Enumeration Date2025-05-17
Last Update Date2025-05-17
Business Address
THORNELL JOHNSON
906 HICKORY CIR
LA PLATA, MD 20646-3213
Phone number: 240-715-2852
Mailing Address
THORNELL JOHNSON
906 HICKORY CIR
LA PLATA, MD 20646-3213
Phone number: 240-715-2852
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