Elba Marina Johnson, | |
31 Barkley Cir, Fort Myers, FL 33907-7628 | |
(239) 600-7165 | |
Not Available |
Full Name | Elba Marina Johnson |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 31 Barkley Cir, Fort Myers, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669151577 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | PN5248559 (Florida) | Primary |
Mailing Address | Practice Location Address |
---|---|
Elba Marina Johnson, 13231 Seaside Harbour Dr, N Ft Myers, FL 33903-7118 Ph: (239) 565-0004 | Elba Marina Johnson, 31 Barkley Cir, Fort Myers, FL 33907-7628 Ph: (239) 600-7165 |
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