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Individual

LEONARD WESLY JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7100 GRAND MONTECITO PKWY UNIT 1020, LAS VEGAS, NV 89149-0263
(725) 777-6590
Mailing address
7100 GRAND MONTECITO PKWY UNIT 1020, LAS VEGAS, NV 89149-0263
(725) 777-6590

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
172A00000X
Driver
2000064787
NV
172A00000X
Driver
Primary
247200000X
Other Technician

Other

Enumeration date
10/31/2023
Last updated
10/31/2023
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