Individual
BEURESA K. JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17544 W HEARN RD, SURPRISE, AZ 85388-7767
(602) 621-6288
Mailing address
17544 W HEARN RD, SURPRISE, AZ 85388-7767
(602) 621-6288
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
AZ
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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