Individual
CARLDALE JOHNSON
Active
Individual
CARLDALE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
21265190
TX
Other
Enumeration date
03/15/2016
Last updated
03/15/2016
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