Individual
TIA L JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
958 STEEP RUN RD, MILLVILLE, NJ 08332-7536
(856) 882-6208
Mailing address
958 STEEP RUN RD, MILLVILLE, NJ 08332-7536
(856) 882-6208
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
NA200005114
NJ
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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