Individual
MRS. CYNTHIA A JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
227 WALRATH RD, SYRACUSE, NY 13205-1833
(315) 492-2234
Mailing address
227 WALRATH RD, SYRACUSE, NY 13205-1833
(315) 492-2234
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
302986-1
NY
Other
Enumeration date
07/05/2012
Last updated
07/05/2012
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