Individual
RONALD JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
58 WALNUT ST, SALEM, NJ 08079-1745
(800) 950-6066
Mailing address
58 WALNUT ST, SALEM, NJ 08079-1745
(800) 950-6066
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP05441800
NJ
Other
Enumeration date
08/28/2007
Last updated
08/28/2007
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