Individual
REGINALD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2409 W PIERCE ST, SUITE A, CARLSBAD, NM 88220-3513
(575) 887-8925
(575) 887-8935
Mailing address
2409 W PIERCE ST, SUITE A, CARLSBAD, NM 88220-3513
(575) 887-8925
(575) 887-8935
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-02926
NM
Other
Enumeration date
05/25/2016
Last updated
06/14/2021
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