Tashada Johnson

NPI #1679159594 in Lake Mary, Florida

Provider Information

NPI Number: 1679159594
Entity Type: Individual
Name: Tashada Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Homemaker
Enumeration Date: Mar 22, 2021
Last Updated: Mar 22, 2021

Practice Location

Address: 255 PRIMERA BLVD STE 160
City: Lake Mary
State: Florida
ZIP Code: 32746-2168
Phone: (407) 585-0825

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Adult Companion	372600000X
Homemaker	376J00000X	Primary

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