Individual
MS. JUNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
221 3RD AVE SW, CLEARBROOK, MN 56634-4241
(218) 776-3508
(218) 776-3507
Mailing address
221 3RD AVE SW, CLEARBROOK, MN 56634-4241
(218) 776-3508
(218) 776-3507
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
MN
3747P1801X
Personal Care Attendant
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1380965
REGISTERED NURSE
MN
Enumeration date
04/27/2018
Last updated
04/27/2018
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