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Konica Johnson

NPI 1336850791 · on the registry since 2022 · sole proprietor

Practice

Address
3001 Langston Dr
Fort Pierce, FL 34946
Phone
(772) 259-9514

Registry record

Primary taxonomy
376K00000X
376K00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-12-07

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