JERELENE ELIZABETH JOHNSON

BIG STONE GAP, VA
NPI1275658379
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy247200000X 
Enumeration Date2007-03-20
Last Update Date2007-07-08
Business Address
-- JERELENE ELIZABETH JOHNSON
622 POWELL AVENUE DEVELOPMENTAL SERVICES
BIG STONE GAP, VA 24219
Phone number: 276-523-0682
Mailing Address
-- JERELENE ELIZABETH JOHNSON
PO BOX 9054
GRAY, TN 37615-9054
Phone number: 423-467-3600