Individual
MR. JOHNNY EDWARD JOHNSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8040 MAPLE PARK ST, LAS VEGAS, NV 89131-5289
(702) 858-8884
(702) 586-3334
Mailing address
8040 MAPLE PARK ST, LAS VEGAS, NV 89131-5289
(702) 858-8884
(702) 586-3334
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
09/16/2011
Last updated
09/16/2011
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