Individual
ARETHA MICHELLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N
Contact information
Practice address
6716 N SIDNEY PL, APARTMENT 204, GLENDALE, WI 53209-3264
(262) 385-9551
Mailing address
6716 N SIDNEY PL, APARTMENT 204, GLENDALE, WI 53209-3264
(262) 385-9551
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
312201-031
WI
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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