Matrina L Johnson

NPI #1700266368 in Clewiston, Florida

Provider Information

NPI Number: 1700266368
Entity Type: Individual
Name: Matrina L Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Homemaker
Enumeration Date: Jun 8, 2015
Last Updated: Jun 8, 2015

Practice Location

Address: 713 ALABAMA AVE
City: Clewiston
State: Florida
ZIP Code: 33440-5586
Phone: (863) 677-6031

Specialties & Taxonomy Codes

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

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