DEONDRE M JOHNSON

BRIDGEWATER, VA
NPI1871141994
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-09-02
Last Update Date2019-09-02
Business Address
DEONDRE M JOHNSON
402 E COLLEGE ST
BRIDGEWATER, VA 22812-1511
Phone number: 919-527-4148
Mailing Address
DEONDRE M JOHNSON
5009 C AND L AVE
WAKE FOREST, NC 27587-6355
Phone number: 919-527-4148
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