Individual
CLAUDETTE LATOYA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
226 LINDA AVE, HAWTHORNE, NY 10532-2018
(914) 773-7400
Mailing address
226 LINDA AVE, HAWTHORNE, NY 10532-2018
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
325778
NY
Other
Enumeration date
09/20/2017
Last updated
09/20/2017
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