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Individual

DONISEWA NICOLE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2801 CISMAN ST. STE 101A, CHALOTTE, NC 28208
(980) 498-2199
Mailing address
7912 MCGARRY TRL, CHARLOTTE, NC 28214-7621
(980) 422-6916

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HC5990
NC

Other

Enumeration date
05/21/2021
Last updated
05/21/2021
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