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Sandra Johnson
NPI 1083836852 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1800 Edgewood Ave, West #164
Jacksonville, FL 32208 - Phone
- (904) 318-7993
Registry record
- Primary taxonomy
- Specialist
174400000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-12-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida