Individual
NICOLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35 RANDALL ST, PALMER, MA 01069-1327
(774) 573-4071
Mailing address
35 RANDALL ST, PALMER, MA 01069-1327
(774) 573-4071
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2302314
MA
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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