| NPI | 1912376682 |
|---|---|
| Other Name | ALAN JOHNSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2471C1101X Radiologic Technologist, Cardiovascular-Interventional Technology (Licence: AL 406911) |
| Additional Taxonomies | 2471C3402X Radiologic Technologist, Radiography (Licence: AL 406911) |
| 146D00000X Personal Emergency Response Attendant (Licence: AL AL05259) | |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2015-09-23 |