Jerald Johnson
NPI #1669856225 in Fargo, North Dakota
Provider Information
- NPI Number
- 1669856225
- Entity Type
- Individual
- Name
- Jerald Johnson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician, Pathology - Medical Laboratory
- Enumeration Date
- Jul 14, 2015
- Last Updated
- Jul 14, 2015
Practice Location
- Address
- 1618 E GATEWAY CIR S
- Address 2
- APT 301
- City
- Fargo
- State
- North Dakota
- ZIP Code
- 58103-3657
- Phone
- (612) 384-0964
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician, Pathology - Medical Laboratory — Medical Laboratory |
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