Demetris Willette Johnson

NPI #1780345926 in Dillon, South Carolina

Provider Information

NPI Number: 1780345926
Entity Type: Individual
Name: Demetris Willette Johnson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Home Health Aide
Enumeration Date: Jan 9, 2022
Last Updated: Jan 9, 2022

Practice Location

Address: 2217 JOE DR
City: Dillon
State: South Carolina
ZIP Code: 29536-6205
Phone: (803) 260-9603

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X	Primary

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