Individual
MS. TEQUILA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3093 SAWTOOTH DR, TALLAHASSEE, FL 32303-7375
(850) 755-0612
Mailing address
3093 SAWTOOTH DR, TALLAHASSEE, FL 32303-7375
(862) 236-8458
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
Primary
—
FL
Other
Enumeration date
01/18/2025
Last updated
01/18/2025
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