Individual
CECIL STANLEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3677 JAY ST NE, WASHINGTON, DC 20019-1750
(202) 256-3134
Mailing address
1475 BANGOR STREET,SE, WASHINGTON, DC 20020
(202) 747-4038
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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