Individual
MS. PATRICIA ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
30582 HORIZON AVE, CAMP DOUGLAS, WI 54618-8534
(608) 769-0081
Mailing address
30582 HORIZON AVE, CAMP DOUGLAS, WI 54618-8534
(608) 769-0081
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
WI
Other
Enumeration date
11/15/2007
Last updated
11/15/2007
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