Individual
JESSICA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 HAYNES RD, JAMESTOWN, NC 27282-9862
(336) 437-7217
Mailing address
3508 GARDEN RD APT D3, BURLINGTON, NC 27215-8717
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
A-6766
NC
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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