Individual
DENEISHA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2040 BABCOCK RD STE 304, SAN ANTONIO, TX 78229-4428
(210) 731-9570
Mailing address
6623 CALLAGHAN RD APT 703, SAN ANTONIO, TX 78229-5105
(210) 719-3872
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
201215
TX
Other
Enumeration date
05/02/2019
Last updated
05/02/2019
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