Individual provider · Type 1 NPI

Reginald Deon Johnson

Driver · Glen Carbon, IL

NPI number 1356029482 Active

Practice location

3 Quail Hollow Ct Apt A
Glen Carbon, IL 62034-2920

Call (618) 954-5885 Map

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XT980502029 (MO)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

About NPI 1356029482

Reginald Deon Johnson's National Provider Identifier is 1356029482, issued on Jul 10, 2023. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Glen Carbon, IL. The record was last updated on Jul 10, 2023.