Individual
JA'CHARI JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
474 SW SUNVIEW ST, FORT WHITE, FL 32038
(386) 965-1711
Mailing address
474 SW SUNVIEW ST, FORT WHITE, FL 32038
(386) 965-1711
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA84840
FL
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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