Individual
CASSIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9996 DESPERADO, WACO, TX 76708-6174
(254) 640-5040
Mailing address
9996 DESPERADO, WACO, TX 76708-6174
(254) 640-5040
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
07/04/2023
Last updated
07/04/2023
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