JENIFER E. JOHNSON

ROCKFORD, IL
NPI1710237953
Former NameJENIFER E. ERICKSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy247100000X Radiologic Technologist
(Licence: IL  500502125)
Additional Taxonomies247200000X Technician, Other
Enumeration Date2012-09-14
Last Update Date2012-09-18
Business Address
Mrs. JENIFER E. JOHNSON
6905 E STATE ST
ROCKFORD, IL 61108-2692
Phone number: 815-397-4142
Mailing Address
Mrs. JENIFER E. JOHNSON
6905 E STATE ST
ROCKFORD, IL 61108-2692
Phone number: 815-397-4142