Individual
GENEVA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
420 SANDCREST CIR, SEBASTIAN, FL 32958-6625
(606) 260-3291
Mailing address
420 SANDCREST CIR, SEBASTIAN, FL 32958-6625
(606) 260-3291
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
02/15/2021
Last updated
02/15/2021
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