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Dontavis Johnson

NPI 1770397994 · on the registry since 2025 · sole proprietor

Practice

Address
4221 N 100th St
Omaha, NE 68134
Phone
(402) 238-4454
Clinicians at this address
2

Registry record

Primary taxonomy
372600000X
372600000X
Also registered as
251C00000X
376J00000X
385H00000X
Sex
Male
Record last updated
2025-02-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska