JACQUETTA JOHNSON

CHARLESTON, WV
NPI1801571864
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2023-06-19
Last Update Date2023-06-19
Business Address
JACQUETTA JOHNSON
200 ASSOCIATION DR STE 130
CHARLESTON, WV 25311-1277
Phone number: 304-988-4200
Mailing Address
JACQUETTA JOHNSON
200 ASSOCIATION DR STE 130
CHARLESTON, WV 25311-1277
Phone number: 304-988-4200
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