Angela Patrice Johnson
Community Health Worker in Winston Salem, NC. Individual provider (NPI-1).
NPI number1922624477
StatusActive
Last updated in NPPESJun 21, 2020
Details
- NPI
- 1922624477
- Entity type
- Individual (NPI-1)
- Name
- Angela Patrice Johnson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 21, 2020
- Certification date
- Jun 21, 2020
- Last updated
- Jun 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
3509 Plaza Ridge Cir Apt 14bWinston Salem, NC 27107-2774
Phone 336-239-1561
Mailing address
3509 Plaza Ridge Cir Apt 14bWinston Salem, NC 27107-2774
Phone 336-239-1561
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