Most Relevant Information
Provider Data
| NPI Number: | 1003472663 |
| Provider Name: | JOHNECIA CHERMEKA LAFORTUNE |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: | S86811313 |
Most Important Dates
| Enumeration Date: | 05/18/2019 |
| Last Updated: | 05/18/2019 |
Provider Practice Location
223 CENTRAL ST APT 1R
SPRINGFIELD
MA
011051443
Practice Location Phone/Fax
| Phone: | 4132855846 |
| Fax: |
Provider Mailing Location
223 CENTRAL ST APT 1R
SPRINGFIELD
MA
011051443
Provider Mailing Phone/Fax
| Phone: | 4132855846 |
| Fax: |