Individual
MARQUETTA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED PRACTICAL N
Contact information
Practice address
201 E CENTER ST APT 343, MEBANE, NC 27302-2561
(314) 437-3008
Mailing address
201 E CENTER ST APT 343, MEBANE, NC 27302-2561
(314) 437-3008
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2001008578
NC
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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