Individual
TIOMBE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
392 SPRINGBOTTOM CT, LAWRENCEVILLE, GA 30046-6870
(201) 691-5085
Mailing address
392 SPRINGBOTTOM CT, LAWRENCEVILLE, GA 30046-6870
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN098762
GA
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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