Individual
MR. VIDAL JOHNSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
VIDAL JOHNSON
Contact information
Practice address
9005 BREEZEWOOD TER APT 102, GREENBELT, MD 20770-1055
(769) 258-1534
Mailing address
9005 BREEZEWOOD TER APT 102, GREENBELT, MD 20770-1055
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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