Individual
JA'KIYA M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
721 48TH ST NE, WASHINGTON, DC 20019-3607
(202) 541-9844
Mailing address
3904 BEXLEY PLACE, APT 208, SUITLAND, MD 20746
(202) 277-9623
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A00198614
MD
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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