Individual
CAMILLE L JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
19 SUSSEX CT, BUFFALO, NY 14204-1728
(716) 768-2040
Mailing address
38 WILDWOOD PL, BUFFALO, NY 14210-2626
(716) 768-2040
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
702645
NY
Other
Enumeration date
05/07/2014
Last updated
01/18/2017
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