Individual
MS. BEVERLY ANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ADMINISTRATOR
Contact information
Practice address
5304 YAROLEY TER., DURHAM, NC 27707
(919) 937-9997
Mailing address
5304 YAROLEY TER., DURHAM, NC 27707
(919) 937-9997
(919) 937-9997
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
FCL-032-107
NC
Other
Enumeration date
04/26/2012
Last updated
02/08/2021
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