Travara Johnson, LPN

NPI #1093956112 in Fairport, New York

Provider Information

NPI Number
1093956112
Entity Type
Individual
Name
Travara Johnson, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Mar 19, 2009
Last Updated
Mar 19, 2009

Practice Location

Address
30 BLACKWATCH TRL
Address 2
APT.1
ZIP Code
14450-3771
Phone
(585) 748-6889

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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