Lawanda Johnson

NPI #1003463522 in Grovetown, Georgia

Provider Information

NPI Number
1003463522
Entity Type
Individual
Name
Lawanda Johnson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician - Attendant Care Provider
Enumeration Date
Aug 20, 2019
Last Updated
Aug 20, 2019

Practice Location

Address
277 CROWN HEIGHTS WAY
State
Georgia
ZIP Code
30813-5906
Phone
(706) 715-0117

Specialties & Taxonomy Codes

Specialty
Technician - Attendant Care ProviderAttendant Care Provider

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