Individual
DREW JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13005 CLINTON ST, ALDEN, NY 14004-9433
(716) 512-2099
Mailing address
13005 CLINTON ST, ALDEN, NY 14004-9433
(716) 512-2099
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/13/2020
Last updated
03/13/2020
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