Individual
KENENA DANIELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
3711 PECAN GROVE DR NW, HUNTSVILLE, AL 35810-2639
(325) 518-6917
Mailing address
3711 PECAN GROVE DR NW, HUNTSVILLE, AL 35810-2639
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
04/12/2010
Last updated
04/12/2010
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