MICA K JOHNESE

DALLAS, TX
NPI1093218299
Former NameMICA NICHOLSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LW0102X Nurse Practitioner, Women's Health
(Licence: TX  AP135787)
Enumeration Date2018-03-14
Last Update Date2018-03-14
Business Address
MICA K JOHNESE WHNP-BC
3737 GOLDMAN ST
DALLAS, TX 75212-2471
Phone number: 214-266-0900
Mailing Address
MICA K JOHNESE WHNP-BC
565 GRIFFITH DR
SAGINAW, TX 76179-0983
Phone number: 325-829-1844
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