Individual
GLENDA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
6133 SHERWOOD WAY APT 1215, SAN ANGELO, TX 76901-5634
(985) 276-7566
Mailing address
6133 SHERWOOD WAY APT 1215, SAN ANGELO, TX 76901-5634
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
338448
TX
Other
Enumeration date
03/03/2018
Last updated
03/03/2018
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