KELLIE JOHNSON

BRONX, NY
NPI1487192696
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  302542)
Enumeration Date2017-02-08
Last Update Date2017-02-08
Business Address
-- KELLIE JOHNSON
1910 ARTHUR AVE
BRONX, NY 10457-6305
Phone number: 718-466-8961
Mailing Address
-- KELLIE JOHNSON
1910 ARTHUR AVE
BRONX, NY 10457-6305
Phone number: 718-466-8961