SearchVirginia163WA2000X

Demetria Johnson

NPI 1659150456 · on the registry since 2023 · sole proprietor

Practice

Address
11206 Abbots Cross Ln
Glen Allen, VA 23059
Phone
(516) 410-7618

Registry record

Primary taxonomy
163WA2000X
163WA2000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-09-22

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 Virginia