Individual
LATISHA RACHELLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6511 POINT CLEAR DR, HOUSTON, TX 77069-3212
(559) 308-5109
Mailing address
6511 POINT CLEAR DR, HOUSTON, TX 77069-3212
(559) 308-5109
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
53020
TX
Other
Enumeration date
03/28/2020
Last updated
03/28/2020
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