Individual
BRENDA L. JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6412 BARAGON HILL RD, FRIENDSHIP, NY 14739-8668
(716) 790-0228
Mailing address
6412 BARAGON HILL RD, FRIENDSHIP, NY 14739-8668
(717) 790-0228
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
224837
NY
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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