Individual
PATRICK JOHANNESSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1605 VICTORIAN AVE, SPARKS, NV 89431-4822
(775) 353-2255
Mailing address
4170 PILLARY CT, SPARKS, NV 89436-7615
(707) 315-5387
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
78479
NV
Other
Enumeration date
05/02/2026
Last updated
05/02/2026
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