Individual
MRS. CRYSTAL RENEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
85 BARTLETT STREET, WHITE GLOVE COMMUNITY CARE, INC, BROOKLYN, NY 11206
(718) 387-8181
(718) 782-1538
Mailing address
254 MOUNT PROSPECT AVE. APT. 405, NEWARK, NJ 07104
(252) 676-2575
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
278560
NY
Other
Enumeration date
12/26/2013
Last updated
12/26/2013
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