Individual
CECELIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3525 MADISON ST., HYATTSVILLE, MD 20782
(301) 728-8409
Mailing address
3525 MADISON ST., HYATTSVILLE, MD 20782
(301) 728-8409
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN44659
DC
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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