Individual
RHONDA LYNETTE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12108 BERMUDA CROSSROAD LN STE 21, CHESTER, VA 23831-2452
(804) 229-0420
Mailing address
12108 BERMUDA CROSSROAD LN STE 21, CHESTER, VA 23831-2452
(804) 229-0420
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
131646
VA
Other
Enumeration date
07/07/2019
Last updated
07/07/2019
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