Individual
LISA YVETTE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4939 PLEASANT GROVE DR, WILMINGTON, NC 28412-2288
(252) 671-3339
Mailing address
4939 PLEASANT GROVE DR, WILMINGTON, NC 28412-2288
(252) 671-3339
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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