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Sanquinitta Sconiers Johnson

In Home Supportive Care in Lakeland, FL. Individual provider (NPI-1).

NPI number1164066957
StatusActive
Last updated in NPPESAug 13, 2025

Details

NPI
1164066957
Entity type
Individual (NPI-1)
Name
Sanquinitta Sconiers Johnson
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 5, 2019
Certification date
Aug 13, 2025
Last updated
Aug 13, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes
261QD1600X Clinic/Center, Developmental Disabilities––

Practice location

722 Saratoga Ave
Lakeland, FL 33815-1279

Phone 863-934-2926

Mailing address

722 Saratoga Ave
Lakeland, FL 33815-1279

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