LAVON JOHNSON

NELLIS AFB, NV
NPI1962828806
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date2014-03-17
Last Update Date2022-05-03
Business Address
LAVON JOHNSON IDMT
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191-6600
Phone number: 702-653-2273
Mailing Address
LAVON JOHNSON IDMT
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191-6600
Phone number: 702-653-2273
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