Individual
BILLETTE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8802 ROCKAWAY BEACH BLVD, ROCKAWAY BEACH, NY 11693-1609
(718) 634-3461
Mailing address
8802 ROCKAWAY BEACH BLVD, ROCKAWAY BEACH, NY 11693-1609
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
288188
NY
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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