Individual
MRS. TIFFANI JEANEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. OTR
Contact information
Practice address
2535 LONE STAR DR, DALLAS, TX 75212-6313
(214) 467-9787
(214) 741-3655
Mailing address
2535 LONE STAR DR, DALLAS, TX 75212-6313
(214) 467-9787
(214) 741-3665
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
114946
TX
Other
Enumeration date
03/22/2011
Last updated
10/14/2014
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