Individual
TANGELA SIPLEN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 OASIS ISLAND DR APT 7309, OCOEE, FL 34761-3443
(850) 405-2146
Mailing address
1011 OASIS ISLAND DR APT 7309, OCOEE, FL 34761-3443
(850) 405-2146
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
03/07/2023
Last updated
03/07/2023
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