Individual
VIVIENE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9048 SUGAR ESTATE, ST. THOMAS, VI 00802
(340) 777-8804
Mailing address
PO BOX 10626, ST THOMAS, VI 00801-3626
(340) 777-8804
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
VI5457
VI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2922302
RN
FL
01
—
VI 5457
RN
VI
Enumeration date
06/27/2007
Last updated
07/08/2007
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