Individual
TASHARA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
1740 WINDING WOODS LN, JONESBORO, GA 30236-3300
(770) 369-5489
Mailing address
2045 MOUNT ZION RD, MORROW, GA 30260-3313
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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