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Individual

TIFFANY N JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNA

Contact information

Practice address
106 ELIM LN, AIKEN, SC 29801-2013
(803) 522-3786
Mailing address
106 ELIM LN, AIKEN, SC 29801-2013
(803) 522-3786

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
564629
SC

Other

Enumeration date
09/11/2021
Last updated
09/11/2021
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