Individual
ERIKA L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
301 S J T STITES ST, SALLISAW, OK 74955-9302
(918) 774-1406
Mailing address
PO BOX 561, GORE, OK 74435-0561
(918) 351-3853
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0051512
OK
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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