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Individual

JOHNSON MOMPOINT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
865 NW 155TH LN APT 108, MIAMI, FL 33169-6157
(919) 407-0712
Mailing address
18850 NW 57TH AVE APT 307, HIALEAH, FL 33015-7022
(786) 806-7546

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10108
AZ

Other

Enumeration date
12/07/2023
Last updated
12/07/2023
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