Individual
MS. LINDA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4372 HERITAGE DR, 6A12, LIVERPOOL, NY 13090-2057
(315) 622-4320
Mailing address
4372 HERITAGE DR, 6A12, LIVERPOOL, NY 13090-2057
(315) 622-4320
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
518540-1
NY
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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