Individual ProviderRosaline JohnsonTechnicianNursing Service Related ProvidersPractice Address2770 S Maryland Pkwy Ste 110-A, Las Vegas, NV 89109-1554(702) 478-8171PECOS EnrollmentBased on the most recent information from CMS, provider Rosaline Johnson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1285260331Provider TypeIndividualFull NameJohnson, RosalineGenderFemaleSole ProprietorYesEnumeration Date3/20/2020Last Updated3/20/2020Contact InformationPractice LocationPractice Address2770 S Maryland Pkwy Ste 110-A, Las Vegas, NV 89109-1554Phone(702) 478-8171FaxUnlisted FaxMailing LocationMailing Address2770 S Maryland Pkwy Ste 110-A, Las Vegas, NV 89109-1554Phone(702) 478-8171FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode3747P1801XPrimaryDescriptionTechnicianNursing Service Related ProvidersLicenseUnlisted Issuer