NPI 1164896247

Latasha Johnson

Practitioner Private Vehicle Gainesville, FL

Practice location

Address: 205 SW 75th St APT 2h, Gainesville, FL 32607-1721
Phone: (352) 301-2435

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence J525536755287 (FL)

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Registry record

NPI: 1164896247
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Nov 2015
Record last updated: 30 Nov 2015

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.