Individual
CAROL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5230 W PATRICK LN STE 140, LAS VEGAS, NV 89118-5852
(702) 570-5104
Mailing address
1290 W HORIZON RIDGE PKWY APT 2427, HENDERSON, NV 89012-5538
(702) 824-4073
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
06/06/2013
Last updated
06/06/2013
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