Individual
DAVIAN ALEXIS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 B ST SE, WASHINGTON, DC 20019-7300
(301) 642-9210
Mailing address
10314 WOODEN BRIDGE LN, CLINTON, MD 20735-5835
(301) 856-1079
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70709986
—
DC
Enumeration date
09/08/2017
Last updated
09/08/2017
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