Individual
KATHERINE JOHNSON-GOVIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, PLYMOUTH MEETING, PA 19462-1047
(800) 879-4471
Mailing address
120 NIAGARA LN, WILLINGBORO, NJ 08046-1225
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NE01160200
NJ
Other
Enumeration date
12/15/2008
Last updated
12/15/2008
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