LYDIA JOHNSON

NORTH CHARLESTON, SC
NPI1225489461
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KY  AT1062)
Enumeration Date2016-06-29
Last Update Date2016-06-29
Business Address
Miss LYDIA JOHNSON ATC
9200 UNIVERSITY BLVD
NORTH CHARLESTON, SC 29406-9121
Phone number: 843-863-7412
Mailing Address
Miss LYDIA JOHNSON ATC
412 VINICIO DR
GOOSE CREEK, SC 29445-3666
Phone number: 828-545-2801
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