Individual
EARLEANE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
2275 RENAISSANCE DR STE D, LAS VEGAS, NV 89119-6797
(702) 739-7716
(702) 597-2242
Mailing address
2275 RENAISSANCE DR STE D, LAS VEGAS, NV 89119-6797
(702) 739-7716
(702) 597-2242
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
02/22/2011
Last updated
03/05/2015
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