Individual
PROF. PRECIOUS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2618 TANOAK TER, WINTER HAVEN, FL 33881-3831
(863) 521-7863
Mailing address
2618 TANOAK TER, WINTER HAVEN, FL 33881-3831
(863) 521-7863
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
FL
372600000X
Adult Companion
—
FL
376J00000X
Homemaker
Primary
—
FL
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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