DETRA JOHNSON

LUBBOCK, TX
NPI1275142077
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: TX  886175)
Enumeration Date2020-07-28
Last Update Date2020-07-28
Business Address
DETRA JOHNSON RN
7510 102ND ST
LUBBOCK, TX 79424-6882
Phone number: 806-790-0657
Mailing Address
DETRA JOHNSON RN
3708 20TH ST STE A
LUBBOCK, TX 79410-1228
Phone number:
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