LATISHA JOHNSON

NEW YORK, NY
NPI1730704032
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  3096777)
Enumeration Date2020-06-11
Last Update Date2020-10-17
Business Address
LATISHA JOHNSON NP
1 GUSTAVE L. LEVY PLACE
NEW YORK, NY 10029-6574
Phone number: 347-208-3915
Mailing Address
LATISHA JOHNSON NP
1001 MADISON ST APT 301
HOBOKEN, NJ 07030-6486
Phone number: 347-208-3915