VICTORIA JOHNSON

RIDGE FARM, IL
NPI1235582958
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy376K00000X Nurse's Aide
Additional Taxonomies146N00000X Emergency Medical Technician, Basic
(Licence: IL  0001187780)
Enumeration Date2016-07-18
Last Update Date2016-07-18
Business Address
-- VICTORIA JOHNSON
300 W WOODYARD AVE
RIDGE FARM, IL 61870-9467
Phone number: 217-497-4612
Mailing Address
-- VICTORIA JOHNSON
300 W WOODYARD AVE
RIDGE FARM, IL 61870-9467
Phone number: 217-497-4612