Individual
DARLA JUNE JOHANNSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
4406 MONTECITO WAY APT 3802, FORT WORTH, TX 76106-2485
(817) 412-1887
Mailing address
4406 MONTECITO WAY APT 3802, FORT WORTH, TX 76106-2485
(817) 412-1887
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
148350
TX
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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