Individual
MR. JOHNATHAN C VICKERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRT
Taxonomy
Speciality
Code
Description
License number
State
2278H0200X
Home Health Certified Respiratory Therapist
Primary
RCP3247
SC
Other
Enumeration date
04/24/2012
Last updated
04/24/2012
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