Individual
BRET JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3365 WYNN RD STE A, LAS VEGAS, NV 89102-8202
(702) 331-3845
Mailing address
3365 WYNN RD STE A, LAS VEGAS, NV 89102-8202
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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