Deandrenea Johnson
Technician, Personal Care Attendant in Las Vegas, NV. Individual provider (NPI-1).
NPI number1942012208
StatusActive
Last updated in NPPESJan 23, 2025
Details
- NPI
- 1942012208
- Entity type
- Individual (NPI-1)
- Name
- Deandrenea Johnson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 23, 2025
- Certification date
- Jan 23, 2025
- Last updated
- Jan 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
4550 W Oakey Blvd Ste 101aLas Vegas, NV 89102-1506
Phone 702-405-6811
Mailing address
4550 W Oakey Blvd Ste 101aLas Vegas, NV 89102-1506
Phone 702-405-6811
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