| NPI | 1437733730 |
|---|---|
| Doing Business As | CATRINNA JOHNSON |
| Entity Type | Organization |
| Authorized Contact | CATRINNA LASHAY JOHNSON Ancillary Provider 434-229-2732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2021-05-12 |
| Last Update Date | 2021-05-12 |