WILLIE JOSEPH JOHNSON

FORT WORTH, TX
NPI1104679018
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy291U00000X Clinical Medical Laboratory
Enumeration Date2024-04-10
Last Update Date2024-04-10
Business Address
Mr. WILLIE JOSEPH JOHNSON
6616 CASCADE CANYON TRL
FORT WORTH, TX 76179-4594
Phone number: 817-646-9400
Mailing Address
Mr. WILLIE JOSEPH JOHNSON
6616 CASCADE CANYON TRL
FORT WORTH, TX 76179-4594
Phone number: 817-646-9400
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