Individual
BYRON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1260 28TH ST, GULFPORT, MS 39501-6205
(228) 547-9022
Mailing address
1260 28TH ST, GULFPORT, MS 39501-6205
(228) 547-9022
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
MS
Other
Enumeration date
01/25/2023
Last updated
01/25/2023
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