LIEUTENANT JOHNSON SUPERVILLE

HENDERSON, NV
NPI1790458156
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NV  847157)
Enumeration Date2021-07-30
Last Update Date2025-12-05
Business Address
LIEUTENANT JOHNSON SUPERVILLE Ph.D
6301 MOUNTAIN VISTA ST STE 104
HENDERSON, NV 89014-2365
Phone number: 512-201-6766
Mailing Address
LIEUTENANT JOHNSON SUPERVILLE Ph.D
6301 MOUNTAIN VISTA ST STE 104
HENDERSON, NV 89014-2365
Phone number: 512-201-6766
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