Individual
JOHQUALA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 SOUTHPOINTE DR, DESOTO, TX 75115-4277
(469) 626-7232
Mailing address
3450 COUNTRY CLUB DR W APT 183, IRVING, TX 75038-8157
(469) 544-7444
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/20/2018
Last updated
03/20/2018
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