Individual
MISS RANDI L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1087 ALICE AVE, MEMPHIS, TN 38106-6543
(901) 261-6174
(901) 259-1923
Mailing address
4794 ROSWELL DR, MEMPHIS, TN 38141-8515
(901) 261-6174
(901) 259-1923
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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