Individual
MS. ALYSHA EVELINA HENRY-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1971 E 4TH ST STE 200, SANTA ANA, CA 92705-3917
(888) 959-5192
Mailing address
1190 NW 166TH AVE, PEMBROKE PINES, FL 33028-1341
(754) 777-0794
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9104903
FL
Other
Enumeration date
01/29/2009
Last updated
09/28/2022
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