Individual
BEN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
19646 WCR 8, HUDSON, CO 80642-9033
(303) 359-8827
Mailing address
19646 WCR 8, HUDSON, CO 80642-9033
(303) 359-8827
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
44153
CO
Other
Enumeration date
02/18/2010
Last updated
02/18/2010
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