Individual
RUTH ALLEEN JOHNSON-MAKALENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERD NURSE
Contact information
Practice address
10010 ROGERS XING STE 100, SAN ANTONIO, TX 78251-4766
(210) 539-0919
(201) 539-0203
Mailing address
3551 ROGER BROOK DR., ATTN: MCHE-ZDF-M, JBSA-FORT SAM HOUSON, TX 78234
(210) 539-0919
(210) 539-0203
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
968240
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
968240
REGISTERED NURSE
TX
Enumeration date
10/14/2021
Last updated
10/14/2021
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