Individual
AMANDA LOIS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3058 LAKE COMO AVE, LAS VEGAS, NV 89141-3533
(310) 365-1218
Mailing address
3058 LAKE COMO AVE, LAS VEGAS, NV 89141-3533
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
819354
NV
Other
Enumeration date
02/27/2026
Last updated
02/27/2026
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