Individual
KAREN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
714 GREENDALE DR, NORTH LITTLE ROCK, AR 72117-4515
(501) 612-0194
Mailing address
714 GREENDALE DR, NORTH LITTLE ROCK, AR 72117-4515
(501) 612-0194
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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