Individual
JUANITA RUTH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LNFA
Contact information
Practice address
4055 HOGAN DR APT 506, TYLER, TX 75709-6933
(903) 574-0204
Mailing address
4055 HOGAN DR APT 506, TYLER, TX 75709-6933
(903) 574-0204
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
19758921
TX
Other
Enumeration date
02/25/2026
Last updated
02/25/2026
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