Individual
LORIEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHES
Contact information
Practice address
4234 BRONX BLVD, BRONX, NY 10466-2668
(718) 801-3642
Mailing address
4234 BRONX BLVD, BRONX, NY 10466-2668
(347) 341-4300
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
022115
NY
Other
Enumeration date
02/19/2019
Last updated
03/16/2020
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