Individual
MS. ANNA M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
120 SEELEY AVE, SYRACUSE, NY 13205-2741
(315) 299-2490
Mailing address
120 SEELEY AVE, SYRACUSE, NY 13205-2741
(315) 299-2490
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
219377-1
NY
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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