KELLY CHANTAL JOHNSON

ALBANY, NY
NPI1306652938
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  351420-01)
Enumeration Date2024-12-09
Last Update Date2024-12-09
Business Address
KELLY CHANTAL JOHNSON
159 WOLF RD
ALBANY, NY 12205-6007
Phone number: 518-437-0152
Mailing Address
KELLY CHANTAL JOHNSON
478 CLINTON AVE APT 2
ALBANY, NY 12206-3081
Phone number: