DEREK JOHNSON

BENTON, AR
NPI1205631959
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2025-02-17
Last Update Date2026-08-17
Business Address
DEREK JOHNSON
110 PEARSON
BENTON, AR 72015-4436
Phone number: 501-315-4224
Mailing Address
DEREK JOHNSON
110 PEARSON
BENTON, AR 72015-4436
Phone number: 501-315-4224