BRENT JOHNSON

CHESAPEAKE, VA
NPI1306233283
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171W00000X Contractor
(Licence: FL  PTA 23821)
Enumeration Date2015-04-18
Last Update Date2016-01-28
Business Address
Mr. BRENT JOHNSON PTA
404 CAYLAND CT
CHESAPEAKE, VA 23322-3624
Phone number: 757-482-4013
Mailing Address
Mr. BRENT JOHNSON PTA
404 CAYLAND CT
CHESAPEAKE, VA 23322-3624
Phone number: 757-482-4013
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