Individual
TINA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
214 CLAY ST, SUFFOLK, VA 23434-5207
(757) 935-5407
Mailing address
214 CLAY ST, SUFFOLK, VA 23434-5207
(757) 935-5407
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
VA
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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