Individual
MS. LESLIE NICOLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9075 FULTON LN, CORDOVA, TN 38016-5376
(901) 373-0893
Mailing address
9075 FULTON LN, CORDOVA, TN 38016-5376
(901) 373-0893
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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