Latasha J Johnson, PA-C
NPI #1326463639 in Wright Patterson Afb, Ohio
Provider Information
- NPI Number
- 1326463639
- Entity Type
- Individual
- Name
- Latasha J Johnson, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Feb 24, 2014
- Last Updated
- Jul 20, 2022
Practice Location
- Address
- 4881 SUGAR MAPLE DR
- State
- Ohio
- ZIP Code
- 45433-5529
- Phone
- (937) 257-9612
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Physician Assistant - Medical — Medical |
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