NPI 1093464554

Demeka Rashay Johnson

Practitioner Driver Beaumont, TX

Practice location

Address: 2185 Sotherland St, Beaumont, TX 77705
Phone: (409) 466-1167

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1093464554
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Mar 2022
Record last updated: 24 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.