Serina Johnson
NPI #1295320489 in Edgewood, New Mexico
Provider Information
- NPI Number
- 1295320489
- Entity Type
- Individual
- Name
- Serina Johnson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Mar 9, 2021
- Last Updated
- Mar 9, 2021
Practice Location
- Address
- 104 QUAIL TRAIL
- Address 2
- UNIT B
- City
- Edgewood
- State
- New Mexico
- ZIP Code
- 87015
- Phone
- (505) 208-0204
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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