Individual
DARIELL J JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8705 PERIMETER PARK BLVD STE 6, JACKSONVILLE, FL 32216-6353
(904) 997-1349
Mailing address
889 DUSKIN DR, JACKSONVILLE, FL 32216-1551
(904) 250-1899
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA100608
FL
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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