Individual
BRIANA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 RUBY ST, ROME, NY 13440-2565
(315) 338-5360
Mailing address
38 WHITFORD AVE, WHITESBORO, NY 13492-2924
(315) 292-0235
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
673043
NY
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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