Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Johnnetta Latrice Clemons, COSMETOLOGISTINSTUR

Individual provider Rehabilitation Practitioner · NPI 1518772516

Johnnetta Latrice Clemons, COSMETOLOGISTINSTUR is a Rehabilitation Practitioner in Orlando, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2025

Practice location Address checks out

10209 E Colonial Dr Ste 160
Orlando, FL 32817-4337
Phone: (407) 413-5330
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X · Licence CL1250980 (FL)

Record details

NPI number1518772516
Entity typeIndividual (Type 1)
GenderFemale
Credentials COSMETOLOGISTINSTUR
Sole proprietorYes
NPI enumeratedFebruary 8, 2025
Last updated in NPPESMarch 13, 2025
Certification dateMarch 13, 2025

Other providers in Orlando