Individual
CRYSTAL W JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
5778123-3102
UT
Other
Enumeration date
04/11/2025
Last updated
04/11/2025
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