Individual
JAMIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
480 GILES ST, BEAUMONT, TX 77705-5323
(409) 363-9115
Mailing address
480 GILES ST, BEAUMONT, TX 77705-5323
(409) 363-9115
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
17944332
TX
347C00000X
Private Vehicle
Primary
17944332
TX
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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