JEREMY EZRA JOHNSON

STATELINE, NV
NPI1578197984
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2020-02-24
Last Update Date2020-02-24
Business Address
Mr. JEREMY EZRA JOHNSON
331 TRAMWAY DR # 16
STATELINE, NV 89449-9812
Phone number: 805-610-3415
Mailing Address
Mr. JEREMY EZRA JOHNSON
331 TRAMWAY DR # 16
STATELINE, NV 89449-9812
Phone number:
Similar providers in Stateline, NV
NATALIE STEVENSON