Deondre M Johnson

NPI #1871141994 in Bridgewater, Virginia

Provider Information

NPI Number: 1871141994
Entity Type: Individual
Name: Deondre M Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Sep 2, 2019
Last Updated: Sep 2, 2019

Practice Location

Address: 402 E COLLEGE ST
City: Bridgewater
State: Virginia
ZIP Code: 22812-1511
Phone: (919) 527-4148

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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