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Individual

MS. AMY WALKER JOHNSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
IBCLC

Contact information

Practice address
1886 S 14TH ST STE 6, FERNANDINA BEACH, FL 32034-4719
(904) 321-9089
Mailing address
5378 FLORENCE POINT DR, FERNANDINA BEACH, FL 32034-5409
(919) 608-6533

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-113871
FL

Other

Enumeration date
05/24/2018
Last updated
05/24/2018
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