Individual
BERTHA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
405 N BOUKNIGHT FERRY RD, SALUDA, SC 29138-1509
(803) 687-1277
Mailing address
405 N BOUKNIGHT FERRY RD, SALUDA, SC 29138-1509
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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