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Evidelia Johnson
NPI 1487247003 · on the registry since 2021 · sole proprietor
Practice
- Address
- 6466 Polk Circle
Glen Burnie, MD 21061 - Phone
- (443) 597-6959
Registry record
- Primary taxonomy
- 376K00000X
376K00000X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-02-15
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 Maryland