Individual
DANIELLE LYNEA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
823 N VILLA AVE, OKLAHOMA CITY, OK 73107-6439
(405) 622-1385
Mailing address
823 N VILLA AVE, OKLAHOMA CITY, OK 73107-6439
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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