MRS. Mary L. Johnson, MANAGER

NPI #1255635470 in Henderson, Texas

Provider Information

NPI Number: 1255635470
Entity Type: Individual
Name: MRS. Mary L. Johnson, MANAGER
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Credential: MANAGER
Enumeration Date: Jan 3, 2011
Last Updated: Jan 3, 2011

Practice Location

Address: 3735 HWY 64W
City: Henderson
State: Texas
ZIP Code: 75653-0366
Phone: (903) 657-3548

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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