Individual
ROLANDA MONTEZ JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
430 E 162ND ST STE 430, SOUTH HOLLAND, IL 60473-2258
(888) 825-0058
Mailing address
430 E 162ND ST STE 430, SOUTH HOLLAND, IL 60473-2258
(888) 825-0058
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/09/2007
Last updated
08/05/2011
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