Miss. Jaquitsha La'Kwonshay Tyson-Johnson
Miss. Jaquitsha La'Kwonshay Tyson-Johnson is a Prosthetic/Orthotic Supplier in Palm City, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2024
Practice location Address checks out
2047 SW Danforth CirPalm City, FL 34990-7704
Phone: (772) 485-2242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthetic/Orthotic Supplier (primary) | Taxonomy 335E00000X (FL) |
|---|
Record details
| NPI number | 1063239572 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 25, 2024 |
| Last updated in NPPES | November 9, 2024 |
| Certification date | November 9, 2024 |
Other providers in Palm City
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Tresses Medical Health and Care, LLC
2047 SW Danforth Cir, Palm City, FL 34990-7704 · (772) 485-2242