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Organization
TAMARA JOHNSON
Active
Organization
TAMARA JOHNSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA JOHNSON (OWNER)
(386) 333-4058
Entity
Organization
Contact information
Practice address
1372 WOODBINE ST, DAYTONA BEACH, FL 32114-5741
(386) 333-4058
Mailing address
1372 WOODBINE ST, DAYTONA BEACH, FL 32114-5741
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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