Individual
LATRECE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3109 BRILL CIR, MOBILE, AL 36605-4072
(251) 301-5401
Mailing address
3109 BRILL CIR, MOBILE, AL 36605-4072
(251) 301-5401
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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