Individual
KENTRELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10300 SW 216TH ST, CUTLER BAY, FL 33190-1003
(305) 252-4865
Mailing address
11210 SW 138TH TER, MIAMI, FL 33176-6423
(786) 549-9484
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9456635
FL
Other
Enumeration date
07/11/2018
Last updated
04/26/2026
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