Individual
CONNIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
862 RIVERSIDE DR, HILLSBOROUGH, NJ 08844-3324
(609) 216-3174
Mailing address
862 RIVERSIDE DR, HILLSBOROUGH, NJ 08844-3324
(609) 216-3174
Taxonomy
Speciality
Code
Description
License number
State
163WX1500X
Ostomy Care Registered Nurse
Primary
26NR13110100
NJ
Other
Enumeration date
03/04/2015
Last updated
03/04/2015
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