Individual
MRS. TAMARA W JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIR LOSS SPECIALIST
Contact information
Practice address
5942 BROOK RD, RICHMOND, VA 23227-2258
(804) 647-3162
Mailing address
5942 BROOK RD, RICHMOND, VA 23227-2258
(804) 647-3162
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
04/02/2013
Last updated
04/02/2013
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