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Individual

WANDA LESLIE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
HOME HEALTHCARE AIDE

Contact information

Practice address
100 N EDGE DR, SOUTH HILL, VA 23970-1233
(434) 447-3981
Mailing address
100 N EDGE DR, SOUTH HILL, VA 23970-1233
(434) 447-3981

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
08/03/2011
Last updated
08/03/2011
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