JAYVIAN JOHNSON

Contractor

Active Individual
NPI: 1568818672

Practice Address

2116 E 11TH ST
Little Rock, AR 72202

Phone: (501) 425-8174

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes 46-0763339 (AR)

Frequently Asked Questions

NPI 1568818672 is the National Provider Identifier for JAYVIAN JOHNSON, a Contractor provider located in Little Rock, AR. This NPI was enumerated on May 6, 2016.
JAYVIAN JOHNSON practices at 2116 E 11TH ST, Little Rock, AR 72202.

Quick Facts

NPI
1568818672
Type
Individual
Enumerated
May 6, 2016
Last Updated
May 6, 2016

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