Individual
ALICIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2410 ROBIN CREST DR, WEST COLUMBIA, SC 29169-5439
(803) 800-7282
Mailing address
2410 ROBIN CREST DR, WEST COLUMBIA, SC 29169-5439
(803) 800-7282
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
170884
SC
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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