Individual
VALARIE BETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
738 E SPRING ST, COOKEVILLE, TN 38501-4230
(931) 520-8880
Mailing address
545 HILHAM HWY, LIVINGSTON, TN 38570-8164
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
5774
TN
Other
Enumeration date
02/08/2020
Last updated
02/08/2020
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