Individual
MS. ANTOINETTE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N
Contact information
Practice address
3330 S LANCASTER RD, DALLAS, TX 75216-4531
(214) 371-0474
Mailing address
3330 S LANCASTER RD, DALLAS, TX 75216-4531
(214) 371-0474
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
589207
TX
Other
Enumeration date
04/27/2007
Last updated
07/08/2007
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