Reginald Deon Johnson
Reginald Deon Johnson is a Driver in Glen Carbon, Illinois. Licensed in Missouri. Registered with an NPI since 2023.
- Licensed in
- MO
- In the registry since
- 2023
Practice location Address checks out
3 Quail Hollow Ct Apt AGlen Carbon, IL 62034-2920
Phone: (618) 954-5885
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X · Licence T980502029 (MO) |
|---|
Record details
| NPI number | 1356029482 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 10, 2023 |
| Last updated in NPPES | July 10, 2023 |
| Certification date | July 8, 2023 |