Individual
MR. STEVEN WAYNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1140 M ST, GREELEY, CO 80631-9586
(970) 347-2293
Mailing address
1617 41ST STREET RD, EVANS, CO 80620-2429
(970) 518-8888
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0047484
CO
Other
Enumeration date
05/14/2016
Last updated
05/14/2016
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