| NPI | 1902208218 |
|---|---|
| Other Name | LESLIE JANELLE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302044192) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: UT 7771688-1701) |
| 183500000X Pharmacist (Licence: KS 1-16209) | |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2018-04-30 |