Individual
CAMISHA D JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 MIDWAY RTE APT 124, MONTICELLO, AR 71655-8713
(870) 723-9119
Mailing address
125 MIDWAY RTE APT 124, MONTICELLO, AR 71655-8713
(870) 723-9119
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
225941
AR
Other
Enumeration date
03/07/2025
Last updated
03/07/2025
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