MARY JOHNSON

SOUTH BEND, IN
NPI1043092299
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy347C00000X Private Vehicle
Additional Taxonomies344600000X Taxi
343900000X Non-emergency Medical Transport (VAN)
347B00000X Bus
Enumeration Date2023-10-20
Last Update Date2023-10-20
Business Address
MARY JOHNSON
3817 BELLE VIS
SOUTH BEND, IN 46619-2944
Phone number: 574-217-2770
Mailing Address
MARY JOHNSON
3817 BELLE VIS
SOUTH BEND, IN 46619-2944
Phone number: 574-217-2770