Taquan Johnson
Taquan Johnson is a Student in an Organized Health Care Education/Training Program in Middleburg, Florida. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
2727 Woodsdale DrMiddleburg, FL 32068-6891
Phone: (904) 910-8426
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1922607399 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 18, 2020 |
| Last updated in NPPES | October 18, 2020 |
| Certification date | October 18, 2020 |
| Mailing address | 2727 Woodsdale Dr, Middleburg, FL 32068-6891 |
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