Individual
ELIZABETH DENISE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3497 SOUTHLAND ST, MEMPHIS, TN 38109-3921
(901) 930-3117
Mailing address
3497 SOUTHLAND ST, MEMPHIS, TN 38109-3921
(901) 930-3117
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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