Individual
CRISTINA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
776 MAGNOLIA AVE, PORT NECHES, TX 77651-3703
(714) 234-6853
Mailing address
2853 ESTES LN, PORT NECHES, TX 77651-5617
(714) 234-6853
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
105876
TX
Other
Enumeration date
10/25/2012
Last updated
08/15/2022
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