NPI | 1376071613 |
---|---|
Former Name | ANGELA MARIE JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 172V00000X Community Health Worker |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2017-05-31 |
Last Update Date | 2020-05-22 |