Individual
DANIELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
417 N 11TH ST, RICHMOND, VA 23298
(804) 828-8786
(804) 828-5466
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101264457
VA
Other
Enumeration date
04/14/2015
Last updated
08/09/2018
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