Individual
BRUCE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7493 E DANUBE LOOP, NEW KENT, VA 23124-2636
(804) 943-8735
(804) 932-0010
Mailing address
7493 E DANUBE LOOP, NEW KENT, VA 23124-2636
(804) 943-8735
(804) 932-0010
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Enumeration date
05/07/2025
Last updated
05/12/2025
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