Individual
LATOYA SHENELLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32299 PERRYHAWKIN RD, PRINCESS ANNE, MD 21853-4119
(443) 437-5075
Mailing address
32299 PERRYHAWKIN RD, PRINCESS ANNE, MD 21853-4119
(443) 437-5075
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL-00732
MD
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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