Individual
MANITA YVETTE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3125 EASTWAY DR, SUITE 213, CHARLOTTE, NC 28205-5643
(704) 621-2201
(704) 900-6140
Mailing address
3125 EASTWAY DR, SUITE 213, CHARLOTTE, NC 28205-5643
(704) 621-2201
(704) 900-6140
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
NC
Other
Enumeration date
09/02/2009
Last updated
09/02/2009
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