Individual
DEVONTE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7203 SW 44TH PL APT 8, GAINESVILLE, FL 32608-3777
(352) 949-0632
Mailing address
7203 SW 44TH PL APT 8, GAINESVILLE, FL 32608-3777
(352) 949-0632
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA380499
FL
Other
Enumeration date
11/02/2021
Last updated
11/02/2021
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