Individual
JOHNSON OMAJERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4811 CAMBRIDGE PARK, CONVERSE, TX 78109-4457
(516) 330-4673
Mailing address
4811 CAMBRIDGE PARK, CONVERSE, TX 78109-4457
(516) 330-4673
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
779962
NY
163W00000X
Registered Nurse
Primary
979399
TX
164W00000X
Licensed Practical Nurse
320933
NY
164X00000X
Licensed Vocational Nurse
336291
TX
Other
Enumeration date
04/03/2015
Last updated
07/28/2023
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