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Individual

BRIAN JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CNA

Contact information

Practice address
2250 HICKORY RD, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
2250 HICKORY RD, PLYMOUTH MEETING, PA 19462-1047

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA200000865
NJ

Other

Enumeration date
07/20/2011
Last updated
07/20/2011
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