Most Relevant Information
Provider Data
| NPI Number: | 1003375585 |
| Provider Name: | LAQUNDA JOHNSON |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/14/2019 |
| Last Updated: | 03/29/2022 |
Provider Practice Location
2330 SAINT LUCIE BLVD
FORT PIERCE
FL
349466724
Practice Location Phone/Fax
| Phone: | 7724752263 |
| Fax: |
Provider Mailing Location
2538 MOHAWK AVE
FORT PIERCE
FL
349461715
Provider Mailing Phone/Fax
| Phone: | 7724752263 |
| Fax: |