Ilyasah Q Johnson, CNA,PBT

NPI #1326859570 in Egg Harbor City, New Jersey

Provider Information

NPI Number: 1326859570
Entity Type: Individual
Name: Ilyasah Q Johnson, CNA,PBT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician, Pathology - Phlebotomy
Credential: CNA,PBT
Enumeration Date: Jan 16, 2025
Last Updated: Jan 27, 2025

Practice Location

Address: 115 PHILADELPHIA AVE
Address 2: STE B #224
City: Egg Harbor City
State: New Jersey
ZIP Code: 08215-1200
Phone: (856) 202-6243

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse's Aide	376K00000X
Technician, Pathology - Phlebotomy — Phlebotomy	246RP1900X	Primary

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