Traci Lynn Johnson, LVN

NPI #1164661096 in Vance Afb, Oklahoma

Provider Information

NPI Number
1164661096
Entity Type
Individual
Name
Traci Lynn Johnson, LVN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Vocational Nurse
Credential
LVN
Enumeration Date
Feb 17, 2009
Last Updated
Feb 17, 2009

Practice Location

Address
71 MDG
Address 2
527 GOTT RD
ZIP Code
73705-5105
Phone
(580) 213-7909

Specialties & Taxonomy Codes

Specialty
Licensed Vocational Nurse

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