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Clothilda Johnson

NPI 1518689074 · on the registry since 2022

Practice

Address
1762 E Northgate Dr Apt 1123
Irving, TX 75062
Phone
(945) 345-0893

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-09-12

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