person
Trivy Johnson, CERTIFIEDHAIRLOSS
Prosthetics Case Management in Winston Salem, North Carolina
NPI 1548734718

Trivy Johnson is a Prosthetics Case Management based in Winston Salem, NC and is specialized in Prosthetics Case Management. Trivy Johnson practices in Winston Salem, NC and has the professional credentials of CERTIFIEDHAIRLOSS. The NPI Number for Trivy Johnson is 1548734718 and holds a License No. C81080 (North Carolina).

The current practice location address for Trivy Johnson is 8011 N Point Blvd Ste L, Winston Salem, NC and can be reached out via phone at 336-310-4660 and via fax at 336-310-4660.

Location: 8011 N Point Blvd Ste L, Winston Salem, NC, 27102-0157
person
Provider Profile Details
NPI Number
1548734718
Provider Name
Trivy Johnson
Credential
CERTIFIEDHAIRLOSS
Provider Entity Type
Individual
Gender
Female
Address
8011 N Point Blvd Ste L, Winston Salem, NC, 27102-0157
Phone Number
336-310-4660
Fax Number
336-310-4660
Provider Enumeration Date
01/21/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000000000 01 N/A
institution
Provider Business Practice Location Address Details
Address
8011 N Point Blvd Ste L
City
State
Zip
27106-3244
Phone Number
336-310-4660
Fax Number
336-310-4660
person
Provider Business Mailing Address Details
Address
8011 N Point Blvd Ste L
City
State
Zip
27106-3244
Phone Number
336-310-4660
Fax Number
336-310-4660
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
License No.
C81080 (North Carolina)
Definition
Definition to come...
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