Individual
MRS. RENAE LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
80 SH 310, SUITE 2, CANTON, NY 13617-1436
(315) 386-2325
Mailing address
80 SH 310, SUITE 2, CANTON, NY 13617-1476
(315) 386-2325
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
473695-1
NY
Other
Enumeration date
01/12/2009
Last updated
01/12/2009
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