Individual
KIANA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
3530 FOREST LN, DALLAS, TX 75234-7910
(469) 656-8188
Mailing address
738 THEDFORD RD, SEAGOVILLE, TX 75159-1600
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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