SUNDRA RENEE JOHNSON

TUSCALOOSA, AL
NPI1306005087
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171000000X Military Health Care Provider
(Licence: AL  102375)
Additional Taxonomies172V00000X Community Health Worker
Enumeration Date2008-06-06
Last Update Date2008-06-06
Business Address
MS. SUNDRA RENEE JOHNSON
1414 26TH ST 1414 26TH STREET
TUSCALOOSA, AL 35401-6642
Phone number: 205-752-6081
Mailing Address
MS. SUNDRA RENEE JOHNSON
1414 26TH ST 1414 26TH STREET
TUSCALOOSA, AL 35401-6642
Phone number: 205-752-6081