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Individual

GLORIA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7600 FANNIN ST, HOUSTON, TX 77054-1906
(713) 790-1234
Mailing address
7600 FANNIN ST, HOUSTON, TX 77054-1906
(713) 790-1234

Taxonomy

Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
795745
TX
363LN0000X
Neonatal Nurse Practitioner
Primary
145473
TX

Other

Enumeration date
02/05/2020
Last updated
06/10/2020
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