Individual
MS. CHARLOTTE WINNIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1811 MCDONALD ST, MIDLAND, TX 79707-6716
(432) 889-8105
Mailing address
1811 MCDONALD ST, MIDLAND, TX 79707-6716
(432) 889-8105
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
116378
TX
Other
Enumeration date
04/14/2018
Last updated
04/14/2018
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