Mr. Eric Dwayne Johnson
Mr. Eric Dwayne Johnson is a Rehabilitation Practitioner in Las Vegas, Nevada. Practices as a sole proprietor. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
5615 S Pecos RdLas Vegas, NV 89120-1961
Phone: (510) 294-9760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|
Record details
| NPI number | 1154752053 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 3, 2013 |
| Last updated in NPPES | December 4, 2013 |
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