Individual
CECILIA RENE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6099 OLD HOWARD RD, TEMPLE, TX 76504-4826
(254) 718-5083
Mailing address
6099 OLD HOWARD RD, TEMPLE, TX 76504-4826
(254) 718-5083
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1000225
TX
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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