De Von Johnson
De Von Johnson is a Homemaker in Las Vegas, Nevada. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
9125 Fish Tail Ave Unit 103Las Vegas, NV 89149-3168
Phone: (702) 955-1774
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Homemaker (primary) | Taxonomy 376J00000X |
|---|
Record details
| NPI number | 1396481297 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 12, 2022 |
| Last updated in NPPES | May 12, 2022 |
| Certification date | May 12, 2022 |
| Mailing address | 9125 Fish Tail Ave Unit 103, Las Vegas, NV 89149-3168 |
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