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Individual

CHEMIKIA JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
X

Contact information

Practice address
41 PINE HOUSE RD STE 4, TRENTON, SC 29847-2084
(803) 403-2091
Mailing address
PO BOX 97, TRENTON, SC 29847-0097

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
3747A0650X
Attendant Care Provider
3747P1801X
Personal Care Attendant
376J00000X
Homemaker
376K00000X
Nurse's Aide
Primary

Other

Enumeration date
03/05/2025
Last updated
03/05/2025
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