Individual
MRS. MONIQUE DEON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
39 STATON DR, UPPER MARLBORO, MD 20774-1755
(301) 466-1096
Mailing address
39 STATON DR, UPPER MARLBORO, MD 20774-1755
(301) 466-1096
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R125619
MD
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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