Individual
NATONYA NAKESHIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
250 N 5TH ST APT 2111, GARLAND, TX 75040-6319
(608) 208-4545
Mailing address
PO BOX 460671, GARLAND, TX 75046-0671
(608) 208-4545
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3222866
TX
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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