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Individual

MRS. JOHNETTA DENISE FLORENCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9234 HAWKSRIDGE DR, COVINGTON, KY 41017-9135
(859) 356-4320
Mailing address
9234 HAWKSRIDGE DR, COVINGTON, KY 41017-9135
(859) 356-4320

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2043359
KY

Other

Enumeration date
09/12/2009
Last updated
09/12/2009
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