Individual
LAQUNDA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2330 SAINT LUCIE BLVD, FORT PIERCE, FL 34946-6724
(772) 475-2263
Mailing address
2538 MOHAWK AVE, FORT PIERCE, FL 34946-1715
(772) 475-2263
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
FL
Other
Enumeration date
03/14/2019
Last updated
03/29/2022
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