Individual
JOHNNIE JOHNSON-MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
325 S WILDFLOWER DR, GOODYEAR, AZ 85338-6869
(623) 772-5210
(623) 772-5220
Mailing address
325 S WILDFLOWER DR, GOODYEAR, AZ 85338-6869
(623) 772-5210
(623) 772-5220
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
245288
AZ
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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