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Individual

MCKEELA JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
875 E SILVERADO RANCH BLVD APT 2057, LAS VEGAS, NV 89183-5893
(702) 439-1130
Mailing address
875 E SILVERADO RANCH BLVD APT 2057, LAS VEGAS, NV 89183-5893
(702) 439-1130

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
10/15/2014
Last updated
10/15/2014
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