Susan Raye Johnson, LVN Valid NPI

Individual provider · Licensed Vocational Nurse · Comanche, TX

NPI

1629579842

Type

Individual (Type 1)

Primary specialty

Licensed Vocational Nurse

Specialty group

Nursing Service Providers

Taxonomy code

164X00000X

License number

179132 (TX)

Sex

Female

Sole proprietor

Yes

Enumerated

2018-02-22

Last updated

2018-02-22