Individual
CANDRA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2713 FISHOOK CACTUS CT, LAS VEGAS, NV 89106-1459
(702) 506-5791
Mailing address
1005 TERMINAL WAY STE 125, RENO, NV 89502-2198
(877) 786-4999
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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