LATRICE JOHNSON

PORTLAND, ME
NPI1568264687
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-03-27
Last Update Date2026-08-20
Business Address
LATRICE JOHNSON MD
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number: 704-207-7178
Mailing Address
LATRICE JOHNSON MD
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number: 207-662-7068