MICHELLE JOHNSON

PORT ST LUCIE, FL
NPI1912194051
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: FL  PN 5166406)
Enumeration Date2007-10-03
Last Update Date2007-10-03
Business Address
-- MICHELLE JOHNSON
5532 NW E TORINO PKWY APT 212
PORT ST LUCIE, FL 34986-4622
Phone number: 772-626-7172
Mailing Address
-- MICHELLE JOHNSON
5532 NW E TORINO PKWY APT 212
PORT ST LUCIE, FL 34986-4622
Phone number: