MS. Roberta Johnson
NPI #1366109845 in Centreville, Illinois
Provider Information
- NPI Number
- 1366109845
- Entity Type
- Individual
- Name
- MS. Roberta Johnson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician, Pathology - Phlebotomy
- Enumeration Date
- Nov 19, 2021
- Last Updated
- Nov 19, 2021
Practice Location
- Address
- 1624 BOISMENUE AVE
- City
- Centreville
- State
- Illinois
- ZIP Code
- 62207-2131
- Phone
- (618) 698-3308
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician, Pathology - Phlebotomy — Phlebotomy |
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