Organization
LASHONDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LASHONDA P JOHNSON (OWNER)
(904) 509-7198
Entity
Organization
Contact information
Practice address
861650 WORTHINGTON DR, YULEE, FL 32097-6437
(904) 509-7198
Mailing address
861650 WORTHINGTON DR, YULEE, FL 32097-6437
(904) 509-7198
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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