Individual
KAYLA JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34 PICTURE PERFECT DRIVE, LINDALE, WV 25630
(304) 583-5569
Mailing address
PO BOX 123, KISTLER, WV 25628-0123
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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