Individual
MS. BRENDA DEMETRIUS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1114 S SPRINGINSGUTH RD APT 2B, SCHAUMBURG, IL 60193-3463
(847) 302-4541
Mailing address
1114 S SPRINGINSGUTH RD, APT 2B, SCHAUMBURG, IL 60193-3486
(847) 302-4541
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
390
IL
Other
Enumeration date
08/22/2016
Last updated
08/22/2016
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