Individual
JAMIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5839 TREE VIEW ST, SAN ANTONIO, TX 78220-1920
(210) 326-8562
Mailing address
5839 TREE VIEW ST, SAN ANTONIO, TX 78220-1920
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
658284
TX
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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