Individual
RODNEY JAMAR JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
14384 W MAUI LN, SURPRISE, AZ 85379-8529
(623) 556-9009
Mailing address
14384 W MAUI LN, SURPRISE, AZ 85379-8529
(623) 556-9009
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10660H
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
360398
—
AZ
Enumeration date
04/25/2018
Last updated
04/25/2018
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