Individual
DAMARIS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4055 VALLEY VIEW LN, DALLAS, TX 75244-5074
(972) 715-3800
Mailing address
4055 VALLEY VIEW LN, DALLAS, TX 75244-5074
(972) 715-3800
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
2018014785
MO
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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