Individual
CRESHINE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 LARDNER ST, PHILADELPHIA, PA 19111-5907
(267) 235-6792
Mailing address
215 LARDNER ST, PHILADELPHIA, PA 19111-5907
(267) 235-6792
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
11/29/2019
Last updated
11/29/2019
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