Debra M Johnson

NPI #1538898069 in Petersburg, Virginia

Provider Information

NPI Number: 1538898069
Entity Type: Individual
Name: Debra M Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Jun 9, 2022
Last Updated: Jun 9, 2022

Practice Location

Address: 2309 DUNEDIN DR APT 3
City: Petersburg
State: Virginia
ZIP Code: 23803-5475
Phone: (252) 281-0495

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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