MINI JOHNSON

DIX HILLS, NY
NPI1710600077
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent
(Licence: NY  781032-01)
Enumeration Date2022-09-22
Last Update Date2022-09-22
Business Address
MINI JOHNSON
197 HALF HOLLOW RD
DIX HILLS, NY 11746-5859
Phone number: 631-370-1694
Mailing Address
MINI JOHNSON
197 HALF HOLLOW RD
DIX HILLS, NY 11746-5861
Phone number: 631-370-1700
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