Individual
EVELYN BERNICE JOHNSOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
80 FRANK WILKERSON DR, ROCKY MOUNT, NC 27801-7876
(252) 813-5062
Mailing address
80 FRANK WILKERSON DR, ROCKY MOUNT, NC 27801-7876
(252) 813-5062
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/03/2021
Last updated
03/23/2021
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