Individual
TRACYANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 ROWLAND FARM RD, OXFORD, CT 06478-1265
(475) 232-9198
Mailing address
30 ROWLAND FARM RD, OXFORD, CT 06478-1265
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
112943
CT
Other
Enumeration date
10/02/2025
Last updated
10/02/2025
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