Individual
CASAUNDRA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
690 E PATRIOT BLVD APT 357, RENO, NV 89511-1246
(775) 338-8966
Mailing address
690 E PATRIOT BLVD APT 357, RENO, NV 89511-1246
(775) 338-8966
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
0802804895
NV
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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