Individual
TAMMY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1317 EDGEWATER DR STE 2019, ORLANDO, FL 32804-6350
(305) 218-6017
Mailing address
70 NW 110TH AVE, PLANTATION, FL 33324-1563
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
10/03/2023
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