Individual
MRS. CYNTORIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1003 EASTVIEW ST, JACKSON, MS 39203-3119
(601) 715-9111
Mailing address
111 LAKESHORE DR APT C401, BRANDON, MS 39047-6017
(945) 283-2145
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
07/10/2025
Last updated
07/10/2025
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