Individual
COURTNEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
4595 STATE HIGHWAY 87 N, CENTER, TX 75935-6795
(936) 591-5942
Mailing address
4595 STATE HIGHWAY 87 N, CENTER, TX 75935-6795
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
340774
TX
Other
Enumeration date
02/07/2019
Last updated
02/07/2019
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