Individual
MRS. ANGEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
4300 SW 13TH ST, GAINESVILLE, FL 32608-4006
(352) 374-5600
Mailing address
PO BOX 298, HAMPTON, FL 32044-0298
(904) 796-7388
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
145999
FL
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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