Individual
DAWN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
808 COUNTY ROUTE 122, MANNSVILLE, NY 13661-4316
(315) 771-7496
Mailing address
808 COUNTY ROUTE 122, MANNSVILLE, NY 13661-4316
(315) 771-7496
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
258132
NY
Other
Enumeration date
04/22/2015
Last updated
12/17/2024
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