Individual
ECHO JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4940 KINGFISHER LN, MESQUITE, TX 75181-4909
(469) 855-0612
Mailing address
4940 KINGFISHER LN, MESQUITE, TX 75181-4909
(469) 855-0612
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
204852
TX
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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