Individual
EMERY LEROY JOHNSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3676 N HERMITAGE RD, TRANSFER, PA 16154-1852
(330) 726-0700
Mailing address
136 FETSKO RD, WEST MIDDLESEX, PA 16159-2306
(724) 854-1435
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN274204
PA
Other
Enumeration date
09/28/2018
Last updated
09/28/2018
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