Individual
ZANDRA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
29 TIMBERLAND TRACE CT, DALLAS, GA 30157-9669
(470) 819-1138
Mailing address
PO BOX 1832, MABLETON, GA 30126-1013
(470) 819-1138
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
078395
GA
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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