Individual
TERRENCE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1436 CEDAR ST SE APT T, WASHINGTON, DC 20020-5002
(240) 860-5416
Mailing address
1436 CEDAR ST SE APT T, WASHINGTON, DC 20020-5002
(240) 860-5416
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
C69787256
DC
Other
Enumeration date
01/16/2021
Last updated
01/16/2021
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