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TASHADA JOHNSON

>> Adult Companion >> Nursing Service Related Providers

Registrant NPI Number: 1679159594

Individual Registrant:
 TASHADA  JOHNSON 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
255 PRIMERA BLVD STE 160  LAKE MARY, FL 32746-2168 US
Tel: 407-585-0825  Fax: --

Contact information for business:
255 PRIMERA BLVD STE 160  LAKE MARY, FL 32746-2168 US
Tel: 407-585-0825  Fax: --

Registration Information:
NPI: 1679159594
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N372600000XNursing Service Related Providers
Adult Companion
FL28573
Y376J00000XNursing Service Related Providers
Homemaker
FL28573

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS FL - Page 1



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