Individual
LAVERNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2634 W ARIZONA ST, PHILADELPHIA, PA 19132-4621
(610) 818-5735
Mailing address
PO BOX 549, GLOUCESTER CITY, NJ 08030-0549
(610) 818-5735
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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