Individual
KERRI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
401 CYPRESS ST, MANCHESTER, NH 03103-3628
(603) 668-4111
Mailing address
115 GLENDALE AVE, MANCHESTER, NH 03103-2921
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
013342-22
NH
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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