DEMETRIS WILLETTE JOHNSON

DILLON, SC
NPI1780345926
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
(Licence: SC  0000)
Enumeration Date2022-01-09
Last Update Date2022-01-09
Business Address
DEMETRIS WILLETTE JOHNSON
2217 JOE DR
DILLON, SC 29536-6205
Phone number: 803-260-9603
Mailing Address
DEMETRIS WILLETTE JOHNSON
PO BOX 2015
DILLON, SC 29536-7015
Phone number: 803-260-9603