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Individual

LAQUIDA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
7610 PENNSYLVANIA AVE STE 301, FORESTVILLE, MD 20747-4764
(240) 838-3707
Mailing address
2264 DAWN LN, TEMPLE HILLS, MD 20748-4213
(301) 537-3606

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R208606
MD

Other

Enumeration date
04/10/2025
Last updated
04/10/2025
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