NPI 1700523834

Dasjarae Brior Johnson

Practitioner Driver Owensboro, KY

Practice location

Address: 126 W 20th St STE a, Owensboro, KY 42303-3704
Phone: (270) 370-7815
Mailing address: PO Box 1252, Owensboro, KY 42302-1252

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence J11173829 (KY)

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Registry record

NPI: 1700523834
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 May 2022
Record last updated: 19 May 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.