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Individual

YETTA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
19002 DALLAS PKWY APT 1838, DALLAS, TX 75287-3160
(214) 931-4595
Mailing address
19002 DALLAS PKWY APT 1838, DALLAS, TX 75287-3160
(214) 931-4595

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
081097943
DUNS NUMBER
TX
Enumeration date
01/01/2018
Last updated
03/11/2021
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