Individual
LASHAUNDRA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2929 BLACKWATER CT, FAYETTEVILLE, NC 28306-8718
(910) 978-8433
Mailing address
2929 BLACKWATER CT, FAYETTEVILLE, NC 28306-8718
(910) 978-8433
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/07/2023
Last updated
12/29/2023
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