Individual
DR. KENNY AYO-DEJI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2596 TINKLING SPRING RD, STUARTS DRAFT, VA 24477-2797
(540) 337-2640
Mailing address
2596 TINKLING SPRING RD, STUARTS DRAFT, VA 24477-2797
(951) 251-9681
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202219334
VA
Other
Enumeration date
02/15/2021
Last updated
02/15/2021
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