Most Relevant Information
Provider Data
| NPI Number: | 1003367764 |
| Provider Name: | TAMARA JOHNSON LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 326796 |
Most Important Dates
| Enumeration Date: | 10/18/2016 |
| Last Updated: | 10/18/2016 |
Provider Practice Location
9038 170TH ST APT 3G
JAMAICA
NY
114325352
Practice Location Phone/Fax
| Phone: | 3477851557 |
| Fax: |
Provider Mailing Location
9038 170TH ST APT 3G
JAMAICA
NY
114325352
Provider Mailing Phone/Fax
| Phone: | 3477851557 |
| Fax: |