| NPI | 1760709075 |
|---|---|
| Professional Name | TERA J JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247200000X Technician, Other (Licence: TN 8469) |
| Additional Taxonomies | 174H00000X Health Educator |
| 247200000X Technician, Other (Licence: CA 879) | |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2011-07-21 |