Individual
RAQUIYA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, PLYMOUTH MEETING, PA 19462-1047
(800) 879-4471
Mailing address
1520 BURNWOOD RD, BALTIMORE, MD 21239-3538
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A00089566
MD
Other
Enumeration date
04/09/2009
Last updated
04/09/2009
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