Individual
MARIAMMA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Mailing address
10515 PEMLEAF CT, SAN ANTONIO, TX 78240-5600
(830) 357-8337
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
747252
TX
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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