Individual
MR. ROBERT LEROY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
29 TUCKER RD, HARDY, AR 72542-9115
(870) 955-0972
Mailing address
29 TUCKER RD., HARDY, AR 72542
(870) 955-0972
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
02/25/2020
Last updated
06/10/2020
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