Individual
LASHONDA DEVONA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 EDGEFIELD ROAD, NORTH AUGUSTA, SC 29841
(803) 343-9132
Mailing address
310 EDGEFIELD RD, NORTH AUGUSTA, SC 29841-2497
(803) 343-9132
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
IHCP-0710
SC
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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