Individual
CLOTHILDA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1762 E NORTHGATE DR APT 1123, IRVING, TX 75062-1622
(945) 345-0893
Mailing address
1762 E NORTHGATE DR APT 1123, IRVING, TX 75062-1622
(682) 208-4725
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
881983
TX
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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