Individual
NAOMI JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3311 S RAINBOW BLVD STE 144, LAS VEGAS, NV 89146-6208
(702) 239-6230
Mailing address
566 HAUNTS WALK AVE, LAS VEGAS, NV 89178-1229
(909) 258-1077
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
16442
NV
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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