Individual
RENEE ELIZABETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
305 W 5TH AVE, LENNOX, SD 57039-2292
(605) 647-2203
Mailing address
305 W 5TH AVE, LENNOX, SD 57039-2292
(605) 647-2203
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R029179
SD
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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