Individual
MR. TERRY WAYNE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8937 THEIS DR, WOODRUFF, WI 54568-9630
(559) 472-6982
Mailing address
8937 THEIS DR, WOODRUFF, WI 54568-9630
(559) 472-6982
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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