Individual
MS. LATARSHA NICOLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIR LOSS SPECIALIST
Contact information
Practice address
10084 MIDLOTHIAN TPKE, NORTH CHESTERFIELD, VA 23235-4800
(804) 319-5409
Mailing address
3716 BONMARK DR, RICHMOND, VA 23234-2435
(804) 319-5409
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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