Dominique Johnson

NPI #1235646902 in Dallas, Texas

Provider Information

NPI Number
1235646902
Entity Type
Individual
Name
Dominique Johnson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Assisted Living Facility
Enumeration Date
Jan 4, 2018
Last Updated
Mar 6, 2023

Practice Location

Address
6005 PARK MANOR DR
City
Dallas
State
Texas
ZIP Code
75241-5241
Phone
(972) 277-7517

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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