IAN GERARD JOHNSON

BRONX, NY
NPI1942763115
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-04-12
Last Update Date2019-04-12
Business Address
IAN GERARD JOHNSON
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 301-928-3360
Mailing Address
IAN GERARD JOHNSON
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: