Mary Johnson

NPI #1134888134 in Fort Hood, Texas

Provider Information

NPI Number
1134888134
Entity Type
Individual
Name
Mary Johnson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Dec 17, 2021
Last Updated
Dec 17, 2021

Practice Location

Address
36065 SANTA FE AVE
State
Texas
ZIP Code
76544-5060
Phone
(254) 553-3130

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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