MRS. Katrena Faye Johnson, SUPPORTED LIVING COA
NPI #1396755773 in Greenwood, Florida
Provider Information
- NPI Number
- 1396755773
- Entity Type
- Individual
- Name
- MRS. Katrena Faye Johnson, SUPPORTED LIVING COA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Contractor
- Credential
- SUPPORTED LIVING COA
- Enumeration Date
- Aug 9, 2006
- Last Updated
- Jul 8, 2007
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Contractor |
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