MR. Jeremy Ezra Johnson
NPI #1578197984 in Stateline, Nevada
Provider Information
- NPI Number
- 1578197984
- Entity Type
- Individual
- Name
- MR. Jeremy Ezra Johnson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Feb 24, 2020
- Last Updated
- Feb 24, 2020
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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