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Individual

BRITTANY MARIA JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S. ITDS

Contact information

Practice address
33279 PENNSYLVANIA AVE, RIDGE MANOR, FL 33523-9041
(352) 346-8029
Mailing address
125 1/4 8TH AVE N, SAINT PETERSBURG, FL 33701-2519
(850) 418-1504

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
05/19/2009
Last updated
05/19/2009
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