Crystal Johnson

NPI #1629252929 in Drexel Hill, Pennsylvania

Provider Information

NPI Number: 1629252929
Entity Type: Individual
Name: Crystal Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Enumeration Date: Dec 21, 2007
Last Updated: Dec 21, 2007

Practice Location

Address: 3300 TOWNSHIP LINE RD STE 102
City: Drexel Hill
State: Pennsylvania
ZIP Code: 19026-1925
Phone: (610) 853-9919

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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