Individual
MISS KIYANA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8914 BLUE CEDAR LN, HUMBLE, TX 77338-2804
(281) 732-4277
Mailing address
8914 BLUE CEDAR LN, HUMBLE, TX 77338-2804
(281) 732-4277
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/18/2008
Last updated
12/18/2008
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