Latasha Johnson, PA-C

NPI 1326463639 · on the registry since 2014

Practice

Address: 4881 Sugar Maple Dr
Wright Patterson Afb, OH 45433
Phone: (937) 257-9612
Organisation at this address: Dayton Vamc
United States Air Force
United States Air Force
Wright Patterson Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 337

Registry record

Primary taxonomy: 363AM0700X
363AM0700X
Also registered as: 207Q00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-07-20

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 Ohio