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Dedra Johnson

NPI 1225621154 · on the registry since 2021 · sole proprietor

Practice

Address
8554 Ruby River Ln
Richmond, TX 77407
Phone
(716) 444-2537

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Also registered as
363LF0000X
363LF0000X
Licence states on file
NM, WA, TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-07-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas