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Individual

SANQUINITTA SCONIERS JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
722 SARATOGA AVE, LAKELAND, FL 33815-1279
(863) 934-2926
Mailing address
722 SARATOGA AVE, LAKELAND, FL 33815-1279

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
261QD1600X
Developmental Disabilities Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
96
FL
Enumeration date
11/05/2019
Last updated
08/13/2025
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