Individual
PRICILLA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 ROBINHOOD RD, TYNGSBORO, MA 01879-1629
(978) 476-9641
Mailing address
5 ROBINHOOD RD, TYNGSBORO, MA 01879-1629
(978) 476-9641
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2276207
MA
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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