SearchIllinois246RP1900X

Roberta Johnson

NPI 1366109845 · on the registry since 2021 · sole proprietor

Practice

Address
1624 Boismenue Ave
Centreville, IL 62207
Phone
(618) 698-3308

Registry record

Primary taxonomy
246RP1900X
246RP1900X
Sex
Female
Record last updated
2021-11-19

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 Illinois