Individual
AMY BRIANNA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2217 CLEARVIEW DR, FORT WORTH, TX 76119-4503
(817) 975-8890
Mailing address
2217 CLEARVIEW DR, FORT WORTH, TX 76119-4503
(817) 975-8890
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
02/27/2009
Last updated
02/27/2009
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