Individual
WILMA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
20345 W COUNTRY CLUB DR, TOWN HOUSE - 14, AVENTURA, FL 33180-1631
(305) 792-2493
Mailing address
20345 W COUNTRY CLUB DR, TOWN HOUSE - 14, AVENTURA, FL 33180-1631
(305) 792-2493
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
682570296
—
FL
Enumeration date
02/01/2017
Last updated
02/01/2017
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