Individual
TRICIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N
Contact information
Practice address
106 W 3RD ST, SUITE 106, JAMESTOWN, NY 14701-5105
(716) 484-7101
Mailing address
106 W 3RD ST, SUITE 106, JAMESTOWN, NY 14701-5105
(716) 484-7101
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
488199-1
NY
Other
Enumeration date
07/10/2015
Last updated
07/10/2015
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