STACY ELAINE JOHNSON

FARGO, ND
NPI1740013457
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2024-08-20
Last Update Date2024-08-20
Business Address
STACY ELAINE JOHNSON
3520 42ND ST S APT 304
FARGO, ND 58104-6967
Phone number: 612-462-3986
Mailing Address
STACY ELAINE JOHNSON
1820 40TH ST S APT 210
FARGO, ND 58103-4469
Phone number: 501-420-8479
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