Individual
MRS. RAY VIVIAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4632 WILLOW AVE, KANSAS CITY, MO 64133-1847
(816) 616-7179
Mailing address
4632 WILLOW AVE, KANSAS CITY, MO 64133-1847
(816) 616-7179
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
143504
MO
Other
Enumeration date
01/28/2009
Last updated
01/28/2009
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