Individual
MS. DENVIA B JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
1 PARKCREST CT, UPPER MARLBORO, MD 20774-1542
(301) 350-0295
Mailing address
1 PARKCREST CT, UPPER MARLBORO, MD 20774-1542
(301) 350-0295
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C0001262
MD
363A00000X
Physician Assistant
Primary
PA134
DC
Other
Enumeration date
12/04/2006
Last updated
04/15/2010
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