Individual
ALEXANDER GENE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3945 N 19TH ST APT 109, BISMARCK, ND 58503-5489
(701) 864-0812
Mailing address
1404 7TH AVE SE, MANDAN, ND 58554-4507
(701) 864-0812
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
94157
ND
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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