Individual
LASHANA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3536 LENA LN, GREENVILLE, NC 27834-6163
(252) 367-8370
Mailing address
3536 LENA LN, GREENVILLE, NC 27834-6163
(252) 412-5182
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
448269
NC
Other
Enumeration date
08/18/2020
Last updated
09/24/2020
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