Johnson Exantus, LPN

NPI #1073890729 in Deer Park, New York

Provider Information

NPI Number
1073890729
Entity Type
Individual
Name
Johnson Exantus, LPN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Nov 9, 2011
Last Updated
Nov 9, 2011

Practice Location

Address
60 CROWN ST
ZIP Code
11729-6921
Phone
(631) 392-0199

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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