Individual
MRS. TANYA E JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
203 LUCAS LN, CHAPEL HILL, NC 27516-6078
(617) 771-2679
Mailing address
203 LUCAS LN, CHAPEL HILL, NC 27516-6078
(617) 771-2679
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
237248
NC
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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