ANDREA JOHNSON

MEDFORD, NY
NPI1689305435
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  343504)
Enumeration Date2022-06-22
Last Update Date2022-06-22
Business Address
ANDREA JOHNSON
1105 LAKE DR
MEDFORD, NY 11763-4620
Phone number: 631-626-2537
Mailing Address
ANDREA JOHNSON
1105 LAKE DR
MEDFORD, NY 11763-4620
Phone number: