Johquala Johnson

NPI #1659875151 in Desoto, Texas

Provider Information

NPI Number: 1659875151
Entity Type: Individual
Name: Johquala Johnson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Enumeration Date: Mar 20, 2018
Last Updated: Mar 20, 2018

Practice Location

Address: 1115 SOUTHPOINTE DR
City: Desoto
State: Texas
ZIP Code: 75115-4277
Phone: (469) 626-7232

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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