Individual
DANIELLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
210 W 10TH ST, DALLAS, TX 75208-4523
(214) 351-3490
(888) 516-1064
Mailing address
8915 HARRY HINES BLVD, DALLAS, TX 75235-1717
(817) 233-1871
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
08/15/2023
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