Individual provider · Type 1 NPI

Jerald Johnson

Medical Laboratory Technician · Fargo, ND

NPI number 1669856225 Active

Practice location

1618 E Gateway Cir S, Apt 301
Fargo, ND 58103-3657

Specialties and licenses

TaxonomyCodeLicense
Medical Laboratory Technician Primary 246RM2200X04200308 (MN)

Medical Laboratory Technician: Definition to come...

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About NPI 1669856225

Jerald Johnson's National Provider Identifier is 1669856225, issued on Jul 14, 2015. The primary taxonomy on file is Medical Laboratory Technician (246RM2200X), and the practice location is in Fargo, ND. The record was last updated on Jul 14, 2015.