Individual
TONYA ALICIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15260 NW 29TH TER, REDDICK, FL 32686-3332
(352) 857-4223
Mailing address
15260 NW 29TH TER, REDDICK, FL 32686-3332
(352) 857-4223
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
05/23/2017
Last updated
07/21/2022
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