Individual
DANIEL EZRA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
44A WOOD ST, GROVELAND, MA 01834-1907
(978) 962-8311
Mailing address
44A WOOD ST, GROVELAND, MA 01834-1907
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2346931
MA
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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