Individual
CHARLOTTE LADALE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
610 UPTOWN BLVD STE 2000 #674, CEDAR HILL, TX 75104-3528
(972) 972-0698
Mailing address
610 UPTOWN BLVD STE 2000 #674, CEDAR HILL, TX 75104-3528
(972) 972-0698
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
325217
TX
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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