Individual
WILMA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2174 MARIAN AVE, CARSON CITY, NV 89706-3326
(510) 990-2352
Mailing address
2174 MARIAN AVE, CARSON CITY, NV 89706-3326
(510) 990-2352
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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