Individual
MRS. FUANYI JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5907 JUSTINA DR, LANHAM, MD 20706-2333
(301) 364-7948
Mailing address
5907 JUSTINA DR, LANHAM, MD 20706-2333
(301) 364-7948
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
HHA10953
DC
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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