Individual
CRYSTAL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1501 S CLINTON ST, BALTIMORE, MD 21224-5730
(301) 529-3689
Mailing address
7402 PETUNIA CT, HYATTSVILLE, MD 20785-2026
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R178508
MD
163W00000X
Registered Nurse
RN1012452
DC
Other
Enumeration date
04/29/2014
Last updated
12/27/2022
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