Individual
JOHNSON BENNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7826 EASTERN AVE NW STE LL14, WASHINGTON, DC 20012-1328
(202) 722-1700
Mailing address
21872 MAYWOOD TER, STERLING, VA 20164-2398
(571) 519-3578
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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