Manita Yvette Johnson
NPI #1710110168 in Charlotte, North Carolina
Provider Information
- NPI Number
- 1710110168
- Entity Type
- Individual
- Name
- Manita Yvette Johnson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Contractor - Home Modifications
- Enumeration Date
- Sep 2, 2009
- Last Updated
- Sep 2, 2009
Practice Location
- Address
- 3125 EASTWAY DR
- Address 2
- SUITE 213
- City
- Charlotte
- State
- North Carolina
- ZIP Code
- 28205-5643
- Phone
- (704) 621-2201
Specialties & Taxonomy Codes
| Specialty |
|---|
| Contractor - Home Modifications — Home Modifications |
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