Individual
CINDY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2392 WILLIAM MORBY DR, SPARKS, NV 89434-2545
(775) 250-4765
Mailing address
2392 WILLIAM MORBY DR, SPARKS, NV 89434-2545
(775) 250-4765
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9005044837
—
CA
Enumeration date
09/13/2016
Last updated
09/13/2016
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