Individual
MS. JOHNA BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4151 NW 43RD ST, #554, GAINESVILLE, FL 32606-4582
(352) 214-9476
Mailing address
4151 NW 43RD ST, #554, GAINESVILLE, FL 32606-4582
(352) 214-9476
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
52823
FL
Other
Enumeration date
11/10/2008
Last updated
11/10/2008
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