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Individual

MS. AMEENAH JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
7947 JOHNSON ST APT 11, PEMBROKE PINES, FL 33024-6847
(954) 549-6547
Mailing address
4608 PREWITT RANCH RD, KILLEEN, TX 76549-1612
(254) 458-2011

Taxonomy

Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
RN-9295651
FL

Other

Enumeration date
05/23/2017
Last updated
05/23/2017
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