Individual
MRS. JOHNNEY MAE MORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4893 PINE RIDGE DR W, BUSHKILL, PA 18324-8433
(570) 793-8703
Mailing address
4893 PINE RIDGE DR W, BUSHKILL, PA 18324-8433
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
315745
NY
Other
Enumeration date
06/08/2018
Last updated
06/08/2018
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