Individual
FELICIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
JSA LABS, 4036 CAPITAL DR STE 104, ROCKY MOUNT,, NC 27804
(252) 905-0089
Mailing address
4036 CAPITAL DR STE 104, ROCKY MOUNT, NC 27804-3123
(252) 904-0089
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
90830
NC
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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