Individual
JENNIFER NICOLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3701 BAKER LN STE 1, RENO, NV 89509-5430
(775) 825-1000
Mailing address
3701 BAKER LN STE 1, RENO, NV 89509-5430
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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