Individual
DENRIQUA JOHNSON THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2315 SPARGER RD, DURHAM, NC 27705-2227
(919) 797-5975
Mailing address
925 FISKE ST APT B, DURHAM, NC 27703-1615
(919) 797-5975
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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