Individual
CHARLES JOHNSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6675 MEDITERRANEAN DR STE 406, MCKINNEY, TX 75072-5623
(504) 346-0485
Mailing address
6675 MEDITERRANEAN DR STE 406, MCKINNEY, TX 75072-5623
(504) 607-2095
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
114397
TX
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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