Individual
BRIDGETTE LEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13143 EGYPT SHORES RD, CREAL S PRINGS, IL 62959
(618) 923-0499
Mailing address
13143 EGYPT SHORES RD, CREAL S PRINGS, IL 62959
(618) 923-0499
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041348858
IL
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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