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Individual

ASHLEIGH E JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN BSN

Contact information

Practice address
189 WHEATLEY RD, GLEN HEAD, NY 11545-2641
(516) 626-1000
Mailing address
13326 125TH ST, SOUTH OZONE PARK, NY 11420-3202

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
782494
NY

Other

Enumeration date
02/11/2020
Last updated
02/11/2020
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