Mr. Jeremy Ezra Johnson
Mr. Jeremy Ezra Johnson is an Athletic Trainer in Stateline, Nevada. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
331 Tramway Dr # 16Stateline, NV 89449-9812
Phone: (805) 610-3415
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|
Record details
| NPI number | 1578197984 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 24, 2020 |
| Last updated in NPPES | February 24, 2020 |
| Certification date | February 24, 2020 |
Other providers in Stateline
-
Natalie Stevenson
331 Tramway Dr # 16, Stateline, NV 89449-9812 · (775) 954-8888