Individual
MS. TRACI L JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CCM
Contact information
Practice address
805 HILLBROOKE DR, ARLINGTON, TX 76001-7583
(636) 375-0634
Mailing address
805 HILLBROOKE DR, ARLINGTON, TX 76001-7583
(636) 375-0634
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
776453
TX
Other
Enumeration date
02/23/2010
Last updated
02/23/2010
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