Individual
MARGARET JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
145 FERNLEA ROAD, RTE 628, TAPPAHANNOCK, VA 22560
(804) 445-6447
Mailing address
PO BOX 2285, TAPPAHANNOCK, VA 22560-2285
(804) 445-6447
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
08/22/2017
Last updated
08/22/2017
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