ALZA THERESA JOHNSON

SYRACUSE, NY
NPI1992154710
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: NY  299068-1)
Enumeration Date2016-06-13
Last Update Date2016-06-13
Business Address
Mrs. ALZA THERESA JOHNSON
139 CLYDE AVE
SYRACUSE, NY 13207
Phone number: 315-200-7203
Mailing Address
Mrs. ALZA THERESA JOHNSON
139 CLYDE AVE
SYRACUSE, NY 13207
Phone number: 315-200-7203