Individual
CHERYL L JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
659 3RD ST, BEAVER, PA 15009-2115
(724) 775-1118
(724) 775-2375
Mailing address
1301 COLLEGE AVE, BEAVER, PA 15009-1407
(724) 888-6694
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN264208
PA
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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