Individual
MR. JOHN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
38 PROSPECT ST, RIDGEFIELD, CT 06877-4514
(203) 947-4100
Mailing address
38 PROSPECT ST, RIDGEFIELD, CT 06877-4514
(203) 947-4100
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
290220-1
NY
Other
Enumeration date
10/22/2007
Last updated
10/22/2007
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