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Individual

MAIYSHA JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7401 OLD YORK RD STE B5, ELKINS PARK, PA 19027-3005
(267) 626-2313
Mailing address
111 YEW RD, CHELTENHAM, PA 19012-1218
(267) 266-3556

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
11/20/2024
Last updated
11/20/2024
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