Individual
LAVONNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1440 ALABAMA AVE SE, WASHINGTON, DC 20032-5051
(202) 302-5628
Mailing address
1440 ALABAMA AVE SE, WASHINGTON, DC 20032-5051
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/03/2018
Last updated
07/03/2018
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