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Individual

MRS. GINA PLACIDA JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN,IBCLC

Contact information

Practice address
150 MONTEREY WAY, ROYAL PALM BEACH, FL 33411-7801
(561) 385-1301
Mailing address
150 MONTEREY WAY, ROYAL PALM BEACH, FL 33411-7801
(561) 385-1301

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
197-14029
FL
163WL0100X
Lactation Consultant (Registered Nurse)
RN1467942
FL

Other

Enumeration date
06/08/2009
Last updated
06/08/2009
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