Individual
DEMORIS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1601 MURPHY ST, GOLDSBORO, NC 27530-7232
(910) 214-5300
Mailing address
1601 MURPHY ST, GOLDSBORO, NC 27530-7232
(910) 214-5300
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
62961
NC
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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