Individual
TENESHA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
(610) 825-1604
Mailing address
545 E HERMAN ST, PHILADELPHIA, PA 19144-1018
(215) 848-9159
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN272178
PA
Other
Enumeration date
12/06/2007
Last updated
12/06/2007
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