Individual
KATINA S JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2005 BLUEBIRD AVE NW, HUNTSVILLE, AL 35816-1704
(256) 224-4494
Mailing address
2005 BLUEBIRD AVE NW, HUNTSVILLE, AL 35816-1704
(256) 224-4494
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
2108199
AL
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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