Individual
DEMINEA L. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7825 MANDAN RD, #303, GREENBELT, MD 20770-2145
(301) 313-9050
Mailing address
7825 MANDAN RD, #303, GREENBELT, MD 20770-2145
(301) 313-9050
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R158488
MD
163W00000X
Registered Nurse
Primary
RN962900
DC
Other
Enumeration date
06/12/2009
Last updated
06/12/2009
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