NPI 1669856225

Jerald Johnson

Practitioner Medical Laboratory Technician Fargo, ND

Practice location

Address: 1618 E Gateway Cir S APT 301, Fargo, ND 58103-3657
Phone: (612) 384-0964

Registered specialties

Medical Laboratory Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246RM2200X Licence 04200308 (MN)

Other Technician, Pathology providers in North Dakota →

Registry record

NPI: 1669856225
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jul 2015
Record last updated: 14 Jul 2015

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.