Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner | 1402432191 | NV |
NPI | 1043634132 |
---|---|
Provider Name | Najauh Johnson |
First Address | North Las Vegas, NV 89030-4332 |
Second Address | North Las Vegas, NV 89030-4332 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/02/2014 |
Last Update Date | 10/02/2014 |