TRACI JOHNSON, LVN

Licensed Vocational Nurse

Active Individual
NPI: 1164661096

Practice Address

71 MDG
527 GOTT RD
Vance Afb, OK 73705

Phone: (580) 213-7909

Specialties

Specialty Code Primary License
Licensed Vocational Nurse 164X00000X Yes 55339 (OK)

Frequently Asked Questions

NPI 1164661096 is the National Provider Identifier for TRACI JOHNSON, LVN, a Licensed Vocational Nurse provider located in Vance Afb, OK. This NPI was enumerated on February 17, 2009.
TRACI JOHNSON, LVN practices at 71 MDG, 527 GOTT RD, Vance Afb, OK 73705.

Quick Facts

NPI
1164661096
Type
Individual
Enumerated
Feb 17, 2009
Last Updated
Feb 17, 2009

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