Mr. Corey Dewite Johnson Sr., DIETARYMANAGER
Mr. Corey Dewite Johnson Sr., DIETARYMANAGER is a Driver in Kansas City, Missouri. Practices as a sole proprietor. Licensed in Missouri.
- Licensed in
- MO
- In the registry since
- 2024
Practice location Address checks out
3442 Wabash AveKansas City, MO 64109-2539
Phone: (816) 215-0334
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X · Licence J125035005 (MO) |
|---|
Record details
| NPI number | 1740029792 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DIETARYMANAGER |
| Sole proprietor | Yes |
| NPI enumerated | May 20, 2024 |
| Last updated in NPPES | May 20, 2024 |
| Certification date | May 20, 2024 |
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