Individual
TAKAYLA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1839 SARAH ST, BEAUMONT, TX 77705-3339
(409) 543-6703
Mailing address
1839 SARAH ST, BEAUMONT, TX 77705-3339
(409) 543-6703
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
22125229
TX
Other
Enumeration date
04/27/2015
Last updated
04/27/2015
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