Individual
ASHANTI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
185 S ORANGE AVE # MSBG574, NEWARK, NJ 07103-2757
(973) 972-5018
Mailing address
185 S ORANGE AVE # MSBG574, NEWARK, NJ 07103-2757
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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