Individual
MS. KERRI MIRANDA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
212 CHARLOTTE ST, SUITE 2B, ST AUGUSTINE, FL 32084-4406
(904) 808-0488
Mailing address
212 CHARLOTTE ST, SUITE 2B, ST AUGUSTINE, FL 32084-4406
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW185
FL
Other
Enumeration date
08/16/2007
Last updated
08/16/2007
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