Individual
MS. ANDREALE HYMAN'JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
300 TOWN HALL DR APT C4, HUDSON, NY 12534-1228
(518) 929-3872
Mailing address
300 TOWN HALL DR APT C4, HUDSON, NY 12534-1228
(518) 929-3872
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
310541
NY
164W00000X
Licensed Practical Nurse
310542
NY
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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