JOHNSON EXANTUS, LPN

LPN

Licensed Practical Nurse

NPI: 1073890729Individual

Specialties, Licenses & Credentials

Licensed Practical NursePrimary

Licensed Practical Nurse

Code: 164W00000X

301511(NY)

Contact & Hours

Address: 60 CROWN ST
DEER PARK, NY 11729
Phone: (631) 392-0199

Quick Facts

NPI: 1073890729
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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