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Jessica Innocent - Johnson
NPI 1942726013 · on the registry since 2017 · sole proprietor
Practice
- Address
- 5254 Sunrise Hwy
Massapequa Park, NY 11762 - Phone
- (516) 691-0401
Registry record
- Primary taxonomy
- Specialist
174400000X
- Sex
- Female
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York