| Dalton J. Johnson & Assoicates | |
|
4660 Prestancia Pl Apt 107 Waldorf MD 20602-4119 | |
| (301) 645-5460 | |
| Not Available |
| Full Name | Dalton J. Johnson & Assoicates |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4660 Prestancia Pl Apt 107, Waldorf, Maryland |
| Authorized Official Name and Position | Dalton James Johnson (OWNER/DIRECTOR) |
| Authorized Official Contact | 3016455460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dalton J. Johnson & Assoicates 4660 Prestancia Pl Apt 107 Waldorf MD 20602-4119 Ph: (301) 645-5460 | Dalton J. Johnson & Assoicates 4660 Prestancia Pl Apt 107 Waldorf MD 20602-4119 Ph: (301) 645-5460 |
| NPI Number | 1437621026 |
|---|---|
| Provider Enumeration Date | 12/20/2018 |
| Last Update Date | 12/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437621026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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