Individual
TANGIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 N RIDGE RD, SUITE 175, ELLICOTT CITY, MD 21043-3383
(410) 750-3474
Mailing address
904 W LEXINGTON ST, APT. 9, BALTIMORE, MD 21223-2544
(410) 728-0949
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A00050949
MD
Other
Enumeration date
09/14/2007
Last updated
09/14/2007
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