DETEVIA JOHNSON

TAMPA, FL
NPI1437677317
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL  AL4169)
Enumeration Date2017-08-31
Last Update Date2017-08-31
Business Address
DETEVIA JOHNSON MS, LAT, ATC
12701 SADDLE CLUB CIR APT 202
TAMPA, FL 33635-9689
Phone number: 850-691-7238
Mailing Address
DETEVIA JOHNSON MS, LAT, ATC
12701 SADDLE CLUB CIR APT 202
TAMPA, FL 33635-9689
Phone number:
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