Individual
TIFFANY MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1209 SEWARD AVE., SITKA, AK 99835
(907) 738-7646
Mailing address
1209 SEWARD AVE., SITKA, AK 99835
(907) 738-7646
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NUAA14825
AK
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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