Individual
STEPHANIE CANDICE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6204 CENTRAL CHURCH RD, DOUGLASVILLE, GA 30135-3374
(352) 678-9988
Mailing address
6204 CENTRAL CHURCH RD, DOUGLASVILLE, GA 30135-3374
(352) 678-9988
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5228622
FL
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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