Individual
TAMEKA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1779 CHRISTOPHER ST, WINTER GARDEN, FL 34787-3752
(407) 421-1631
Mailing address
1779 CHRISTOPHER ST, WINTER GARDEN, FL 34787-3752
(407) 421-1631
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Enumeration date
10/14/2014
Last updated
10/14/2014
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