Individual
KENDRA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5940 SENTRY HILL CT # 9B, NORTH DINWIDDIE, VA 23803-7400
(804) 720-0171
Mailing address
5940 SENTRY HILL CT # 9B, NORTH DINWIDDIE, VA 23803-7400
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
09/07/2020
Last updated
09/07/2020
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