Individual
MRS. TAMARA EVETTE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6196 OXON HILL RD, SUITE 430, OXON HILL, MD 20745-3100
(301) 567-1678
(301) 567-2728
Mailing address
PO BOX 79586, BALTIMORE, MD 21279-3100
(301) 567-1678
(301) 567-2728
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
20141
MD
208100000X
Physical Medicine & Rehabilitation Physician
2305202035
VA
Other
Enumeration date
01/29/2008
Last updated
03/27/2013
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