| NPI | 1992101893 |
|---|---|
| Other Name | ANTHONY EARL JOHNSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: OK R 0075294) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: OK 37V257521203) |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2014-11-09 |