Individual
MS. BRIDGETTE S JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17708 TROUTVILLE ROAD, JAMAICA, NY 11434
(718) 216-2237
Mailing address
17708 TROUTVILLE RD, JAMAICA, NY 11434-2712
(718) 216-2237
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
303415
NY
Other
Enumeration date
04/26/2011
Last updated
04/26/2011
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