MISS Jaquitsha La'kwonshay Tyson-Johnson
NPI #1063239572 in Palm City, Florida
Provider Information
- NPI Number
- 1063239572
- Entity Type
- Individual
- Name
- MISS Jaquitsha La'kwonshay Tyson-Johnson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Sep 25, 2024
- Last Updated
- Nov 9, 2024
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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