Kenyatta Lafaye Johnson, CERT. NURSING ASSIST

NPI #1619545027 in Wauchula, Florida

Provider Information

NPI Number: 1619545027
Entity Type: Individual
Name: Kenyatta Lafaye Johnson, CERT. NURSING ASSIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Home Health
Credential: CERT. NURSING ASSIST
Enumeration Date: Jun 12, 2021
Last Updated: Jun 12, 2021

Practice Location

Address: 1546 MARTIN LUTHER KING JR AVE
City: Wauchula
State: Florida
ZIP Code: 33873-9369
Phone: (863) 473-1896

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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