LATIVIA DEANNA JOHNSON

TAMPA, FL
NPI1629209515
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251E00000X Home Health
(Licence: FL  230667)
Enumeration Date2009-07-27
Last Update Date2009-07-27
Business Address
Ms. LATIVIA DEANNA JOHNSON
1306 E ANNIE ST APT A
TAMPA, FL 33612-8746
Phone number: 863-440-2662
Mailing Address
Ms. LATIVIA DEANNA JOHNSON
PO BOX 1003
FORT MEADE, FL 33841-1003
Phone number: 863-440-2662