Individual
MR. ROEL MARIO JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APT
Taxonomy
Speciality
Code
Description
License number
State
225CA2400X
Assistive Technology Practitioner Rehabilitation Counselor
00965268
TX
247200000X
Other Technician
Primary
00965268
TX
Other
Enumeration date
05/23/2011
Last updated
05/23/2011
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