| Lashonda | |
|
861650 Worthington Dr Yulee FL 32097-6437 | |
| (904) 509-7198 | |
| Not Available |
| Full Name | Lashonda |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 861650 Worthington Dr, Yulee, Florida |
| Authorized Official Name and Position | Lashonda P Johnson (OWNER) |
| Authorized Official Contact | 9045097198 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lashonda 861650 Worthington Dr Yulee FL 32097-6437 Ph: (904) 509-7198 | Lashonda 861650 Worthington Dr Yulee FL 32097-6437 Ph: (904) 509-7198 |
| NPI Number | 1376907337 |
|---|---|
| Provider Enumeration Date | 04/06/2016 |
| Last Update Date | 04/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376907337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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