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Individual

JACQUES ROSHANA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2134 MISROON ST, NORTH CHARLESTON, SC 29405-7957
(803) 671-4237
Mailing address
2134 MISROON ST, NORTH CHARLESTON, SC 29405-7957
(803) 671-4237

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
06/10/2025
Last updated
06/10/2025
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