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Individual

LAQUETTA SHARELL JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
185 W 7TH ST, APOPKA, FL 32703-5209
(407) 937-8095
Mailing address
185 W 7TH ST, APOPKA, FL 32703-5209
(407) 937-8095

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary

Other

Enumeration date
12/28/2023
Last updated
12/28/2023
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Product
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  • Eligibility checks
  • EDI platform