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Individual

BELINDA NICOLE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
777 WESTCHESTER AVE., MAXIM HEALTHCARE, WHITE PLAINS, NY 10604
(914) 997-0420
(877) 306-1432
Mailing address
75 GARDEN ST APT 1B, POUGHKEEPSIE, NY 12601-2427
(845) 264-8762

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
316238
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
316238
LPN
NY
Enumeration date
10/14/2014
Last updated
10/14/2014
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