Individual
ALLAND LASHON JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1481 E 30TH ST, JACKSONVILLE, FL 32206-1607
(904) 258-4208
Mailing address
1481 E 30TH ST, JACKSONVILLE, FL 32206-1607
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
PN5209091
FL
253Z00000X
In Home Supportive Care Agency
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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