Individual
MELISSA A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
305 HURLEY AVE 3C, KINGSTON, NY 12401
(845) 334-8137
Mailing address
305 HURLEY AVE 3C, KINGSTON, NY 12401
(845) 334-8137
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
631730
NY
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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