Individual
SARA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
100 SCHOOL ST, BOLIVAR, NY 14715-1235
(585) 928-2903
(585) 928-2042
Mailing address
100 SCHOOL ST, BOLIVAR, NY 14715-1235
(585) 928-2903
(585) 928-2042
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
659331
NY
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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