Individual
VALRIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
315 W PONCE DE LEON AVE STE 661, DECATUR, GA 30030-2498
(706) 724-4387
Mailing address
1801 WATERMARK DR, COLUMBUS, OH 43215-7088
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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