| NPI | 1649004516 |
|---|---|
| Other Name | TOMMY JOHNSTON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: GA 390200000X) |
| Enumeration Date | 2024-08-31 |
| Last Update Date | 2024-08-31 |