Individual
JOYCELYN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2104 CARY CIR, BRYAN, TX 77803-3483
(979) 739-0970
Mailing address
2104 CARY CIR, BRYAN, TX 77803-3483
(979) 739-0970
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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