Individual
SVITLANA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R. N.
Contact information
Practice address
2586 7TH AVE E, SUITE 302, NORTH ST PAUL, MN 55109-3083
(651) 789-8775
(651) 789-8795
Mailing address
5680 HADLEY AVE N, APT 121, OAKDALE, MN 55128-1004
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R-203288-5
MN
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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