Individual
CHERYL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
10251 N 35TH AVE, PHOENIX, AZ 85051-1305
(602) 995-7366
Mailing address
3830 E LAKEWOOD PKWY E APT 2052, PHOENIX, AZ 85048-0305
(480) 278-2083
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP036784
AZ
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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