Individual
WENDY LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
113 COUNTRY CLUB DR, LONGVIEW, TX 75602-4713
(903) 452-9186
Mailing address
113 COUNTRY CLUB DR, LONGVIEW, TX 75602-4713
(903) 452-9186
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
Primary
873686
TX
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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