Individual
IRIS MIRANDA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
750 AUBURN ST, BRIDGEWATER, MA 02324-3408
(508) 944-5803
Mailing address
750 AUBURN ST, BRIDGEWATER, MA 02324-3408
(508) 944-5803
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2355482
MA
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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