Individual
TALIA NICOLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 WILMINGTON PL SE APT 1, WASHINGTON, DC 20032-6151
(202) 680-4494
Mailing address
106 WILMINGTON PL SE APT 1, WASHINGTON, DC 20032-6151
(202) 680-4494
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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