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Individual

BRITTANY RAQUEL JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2439 E LAFAYETTE AVE, BALTIMORE, MD 21213-2562
(443) 797-2364
Mailing address
2439 E LAFAYETTE AVE, BALTIMORE, MD 21213-2562
(443) 797-2364

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R123456
MD

Other

Enumeration date
04/20/2022
Last updated
04/20/2022
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