Tarquin Johnson

NPI #1386882439 in Richton Park, Illinois

Provider Information

NPI Number: 1386882439
Entity Type: Individual
Name: Tarquin Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Contractor
Enumeration Date: Jan 28, 2009
Last Updated: Jan 28, 2009

Practice Location

Address: 4146 ARLINGTON DR
City: Richton Park
State: Illinois
ZIP Code: 60471-1206
Phone: (708) 491-6183

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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