Individual
MS. DAISY LYNNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4708 TATE DR, DEL CITY, OK 73115-3836
(405) 602-4678
Mailing address
4708 TATE DR, DEL CITY, OK 73115-3836
(405) 602-4678
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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