Individual
ANDRIA CAMILLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6440 STARLING MESA ST, NORTH LAS VEGAS, NV 89086-1324
(702) 884-7622
Mailing address
6440 STARLING MESA ST, NORTH LAS VEGAS, NV 89086-1324
(702) 884-7622
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
01/22/2013
Last updated
01/22/2013
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