Individual
DEBRIKA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5784 HIGHWAY 90, THEODORE, AL 36582-1689
(251) 873-0023
Mailing address
5784 HIGHWAY 90, THEODORE, AL 36582-1689
(251) 873-0023
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-172279
AL
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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