Thornell Johnson I

NPI #1063203099 in La Plata, Maryland

Provider Information

NPI Number
1063203099
Entity Type
Individual
Name
Thornell Johnson I
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Enumeration Date
May 17, 2025
Last Updated
May 17, 2025

Practice Location

Address
906 HICKORY CIR
ZIP Code
20646-3213
Phone
(240) 715-2852

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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