Individual
TIFFANY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5020 ROSAMOND DR APT 2615, ORLANDO, FL 32808-1070
(407) 398-2069
Mailing address
5020 ROSAMOND DR APT 2615, ORLANDO, FL 32808-1070
(407) 398-2069
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
FL
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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