Individual
FLORENTINE JOHNIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2304 OAK LN STE 201, GRAND PRAIRIE, TX 75051-8815
(404) 883-8948
Mailing address
2304 OAKLANE 3A SUITE 201, GRANDPRAIRIE, TX 75051
(404) 883-8948
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
TX
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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