NPI 1407426224

Johnson Chester Doe

Practitioner Home Health Aide Brooklyn Park, MN

Practice location

Address: 5523 102nd Ave N, Brooklyn Park, MN 55443-2074
Phone: (763) 639-2890

Registered specialties

Home Health Aide Primary

Nursing Service Related Providers Taxonomy 374U00000X

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Registry record

NPI: 1407426224
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Jun 2021
Record last updated: 25 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.