Individual
BERNADETTE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, PLYMOUTH MEETING, PA 19462-1047
(800) 879-4471
Mailing address
7238 SINDALL RD, PARKVILLE, MD 21234-6817
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A00044707
MD
Other
Enumeration date
05/06/2009
Last updated
05/06/2009
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