Individual
MS. CHARISSE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
358 BRISTOL ST, BUFFALO, NY 14206-2002
(716) 705-1554
Mailing address
358 BRISTOL ST, BUFFALO, NY 14206-2002
(716) 705-1554
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
01HHVL3
NY
376K00000X
Nurse's Aide
Primary
343564670514E
NY
390200000X
Student in an Organized Health Care Education/Training Program
343564670514E
NY
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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