Individual
MRS. DEBORAH LYN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
912 S JEFFERSON ST, BATAVIA, IL 60510-3038
(630) 338-5250
Mailing address
912 S JEFFERSON ST, BATAVIA, IL 60510-3038
(630) 338-5250
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
041-194729
IL
163WH0200X
Home Health Registered Nurse
Primary
225247-30
WI
Other
Enumeration date
09/26/2015
Last updated
09/26/2015
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