Provider Demographics
NPI:1407225402
Name:JOHNSON, MARIALUZ CASTRO
Entity Type:Individual
Prefix:
First Name:MARIALUZ
Middle Name:CASTRO
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7556 8TH ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012-1814
Mailing Address - Country:US
Mailing Address - Phone:202-445-4206
Mailing Address - Fax:
Practice Address - Street 1:7556 8TH ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012-1814
Practice Address - Country:US
Practice Address - Phone:202-445-4206
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-19
Last Update Date:2015-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula