Individual
MS. DEMEKA RASHAY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2185 SOTHERLAND ST, BEAUMONT, TX 77705
(409) 466-1167
Mailing address
2185 SOTHERLAND ST, BEAUMONT, TX 77705
(409) 466-1167
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
03/22/2022
Last updated
03/24/2022
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