Individual
MRS. WYNONAH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1897 SW BURLINGTON ST, PORT SAINT LUCIE, FL 34984-3582
(772) 985-4933
Mailing address
1897 SW BURLINGTON ST, PORT SAINT LUCIE, FL 34984-3582
(772) 985-4933
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
202301011
FL
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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