Individual
MRS. CHRISTINE JOHNSON HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1501 S CLINTON ST FL 5, BALTIMORE, MD 21224-5730
(443) 608-8557
(443) 753-2063
Mailing address
1501 S CLINTON ST FL 5, BALTIMORE, MD 21224-5730
(443) 608-8557
(443) 753-2063
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
R198589
MD
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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