Individual
JOHNNETTA LATRICE CLEMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COSMETOLOGIST INSTUR
Contact information
Practice address
10209 E COLONIAL DR STE 160, ORLANDO, FL 32817-4337
(407) 413-5330
Mailing address
10209 E COLONIAL DR STE 160, ORLANDO, FL 32817-4337
(407) 413-5330
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
CL1250980
FL
Other
Enumeration date
02/08/2025
Last updated
03/13/2025
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