Individual
STACEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30422 LAURELWOOD LN, WESLEY CHAPEL, FL 33543-4452
(813) 765-5969
Mailing address
30422 LAURELWOOD LN, WESLEY CHAPEL, FL 33543-4452
(813) 765-5969
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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