TREVOR R JOHNSON

WATERLOO, NY
NPI1669347951
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: NY  F357797-01)
Enumeration Date2025-10-07
Last Update Date2025-10-07
Business Address
Mr. TREVOR R JOHNSON
367 E MAIN ST STE A
WATERLOO, NY 13165-1643
Phone number: 315-787-4977
Mailing Address
Mr. TREVOR R JOHNSON
4603 WITHERDEN RD
MARION, NY 14505-9319
Phone number: 585-278-8583
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