Individual
CHRISTINE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5710 PONY FARM DR, APT 203, RICHMOND, VA 23227-4905
(732) 619-9369
Mailing address
5710 PONY FARM DR, APT 203, RICHMOND, VA 23227-4905
(732) 619-9369
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
08/02/2013
Last updated
08/02/2013
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