Individual
TAYLISA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 SW TRAFALGAR PKWY, CAPE CORAL, FL 33991-3489
(239) 240-6721
Mailing address
105 SW TRAFALGAR PKWY, CAPE CORAL, FL 33991-3489
(239) 240-6721
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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