Individual
RACHEL LEIGH MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
200742139RN
OR
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
200742139RN
OR
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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