Individual
MONETTA RUTH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1103 BRIDLE DR, RICHARDSON, TX 75081-2512
(972) 951-8393
Mailing address
1103 BRIDLE DR, RICHARDSON, TX 75081-2512
(972) 951-8393
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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