Individual
MS. ESSIE JEWEL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3309 NE 20TH ST, OKLAHOMA CITY, OK 73121-2839
(405) 602-4217
Mailing address
3309 NE 20TH ST, OKLAHOMA CITY, OK 73121-2839
(405) 602-4217
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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