Individual
ELMER ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 N TROTTER ST, DERMOTT, AR 71638-1640
(870) 308-3778
Mailing address
905 N KNOX ST, DERMOTT, AR 71638-1140
(870) 308-3778
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
AR
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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