Individual
MR. WILLIE L JOHNSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6835 TINKERBELL LN, JACKSONVILLE, FL 32210-3655
(904) 625-1811
Mailing address
6835 TINKERBELL LN, JACKSONVILLE, FL 32210-3655
(904) 625-1811
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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