Individual
MS. LASHAWNDA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1208 GRAY AVE, WINSTON SALEM, NC 27101-1826
(336) 448-8676
Mailing address
1208 GRAY AVE, WINSTON SALEM, NC 27101-1826
(336) 448-8676
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
311522
NC
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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