NPI 1417454547

Earl Dean Johnson

Practitioner Home Modifications Contractor Fredericksburg, VA

Practice location

Address: 7206 Stone Crossing Dr, Fredericksburg, VA 22407-7359
Phone: (540) 841-3346

Registered specialties

Home Modifications Contractor Primary

Other Service Providers Taxonomy 171WH0202X Licence 2705113047 (VA)

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Registry record

NPI: 1417454547
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Apr 2018
Record last updated: 5 Apr 2018

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.