Individual
DORETTA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
115 OAKLAND AVE STE 101C, ROCK HILL, SC 29730-4033
(803) 327-2273
(803) 327-2275
Mailing address
1122 OAKLAWN AVE APT C, CHARLOTTE, NC 28206-3157
(803) 327-2273
(803) 327-2275
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/12/2016
Last updated
01/12/2016
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