Individual provider · Type 1 NPI
Randy Lee Johnson
Home Modifications Contractor · Sartell, MN
NPI number
1497041065
Active
Practice location
824 9th St N
Sartell, MN 56377-2248
Fax (866) 392-7760
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Modifications Contractor Primary | 171WH0202X | None listed |
Home Modifications Contractor: A contractor who makes modifications to homes to accommodate a health condition.
About NPI 1497041065
Randy Lee Johnson's National Provider Identifier is 1497041065, issued on Jun 22, 2011. The primary taxonomy on file is Home Modifications Contractor (171WH0202X), and the practice location is in Sartell, MN. The record was last updated on Jun 22, 2011.