Individual
NATIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4850 STENTON AVE APT 1, PHILADELPHIA, PA 19144-3025
(267) 388-1806
Mailing address
4850 STENTON AVE APT 1, PHILADELPHIA, PA 19144-3025
(267) 388-1806
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN260267L
PA
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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