Individual
JOTESHIA A JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6902 N 76TH ST, MILWAUKEE, WI 53223-5004
(414) 808-9000
Mailing address
6902 N 76TH ST, MILWAUKEE, WI 53223-5004
(414) 808-9000
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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