Individual
MRS. LASHAWNDA CANTRIESE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
8121 JEFFERSON AVE SW, COVINGTON, GA 30014-3862
(216) 203-3707
Mailing address
8121 JEFFERSON AVE SW, COVINGTON, GA 30014-3862
(216) 203-3707
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400512200605
OH
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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