Individual
MRS. CORA THOMAS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
703 NEWPORT NEWS AVE, HAMPTON, VA 23669-3932
(757) 256-4902
(757) 325-2162
Mailing address
703 NEWPORT NEWS AVE, HAMPTON, VA 23669-3932
(757) 256-4902
(757) 325-2162
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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