Individual
BREJAYA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
664 SLATE AVE, OWINGSVILLE, KY 40360-2206
(606) 329-8588
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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