Individual
MARY ANJEANETTE JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
901 S 3RD ST, MC GEHEE, AR 71654-2563
(870) 222-3805
(870) 222-3984
Mailing address
14 ORLANDO ST, MC GEHEE, AR 71654-3218
(870) 222-5910
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R72118
AR
Other
Enumeration date
12/19/2005
Last updated
07/08/2007
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