NPI 1003375585
Laqunda Johnson
Practice location
- Address
- 2330 Saint Lucie Blvd, Fort Pierce, FL 34946-6724
- Phone
- (772) 475-2263
- Mailing address
- 2538 Mohawk Ave, Fort Pierce, FL 34946-1715
Registered specialties
Home Health Aide
Primary
Registry record
- NPI
- 1003375585
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 14 Mar 2019
- Record last updated
- 29 Mar 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.