person
Jerald Johnson
Medical Laboratory Technician in Fargo, North Dakota
NPI 1669856225

Jerald Johnson is a Medical Laboratory Technician based in Fargo, ND and is specialized in Medical Laboratory. Jerald Johnson practices in Fargo, ND. The NPI Number for Jerald Johnson is 1669856225 and holds a License No. 04200308 (North Dakota).

The current practice location address for Jerald Johnson is 1618 E Gateway Cir S, Fargo, ND and can be reached out via phone at 612-384-0964. You can also correspond with Jerald Johnson through the mailing address at 1618 E GATEWAY CIR S, FARGO, ND - 58103-3657 (mailing address contact number: 612-384-0964).

Location: 1618 E Gateway Cir S, Fargo, ND, 58103-3657
person
Provider Profile Details
NPI Number
1669856225
Provider Name
Jerald Johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
1618 E Gateway Cir S, Fargo, ND, 58103-3657
Phone Number
612-384-0964
Fax Number
Provider Enumeration Date
07/14/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1618 E Gateway Cir S
City
State
Zip
58103-3657
Phone Number
612-384-0964
Fax Number
person
Provider Business Mailing Address Details
Address
1618 E Gateway Cir S
City
State
Zip
58103-3657
Phone Number
612-384-0964
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Medical Laboratory
Taxonomy
License No.
04200308 (Minnesota)
Definition
Definition to come...
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