Individual
SAMANTHA R JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED NURSE ASSI
Contact information
Practice address
929 N GRAHAM AVE, WINSTON SALEM, NC 27101-3341
(336) 276-5595
Mailing address
929 N GRAHAM AVE, WINSTON SALEM, NC 27101-3341
(336) 276-5595
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
246762
ND
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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