Wanda Leslie Johnson, Home Healthcare Aide
Home Health Aide in South Hill, VA. Individual provider (NPI-1).
NPI number1497033765
StatusActive
Last updated in NPPESAug 3, 2011
Details
- NPI
- 1497033765
- Entity type
- Individual (NPI-1)
- Name
- Wanda Leslie Johnson
- Credential
- Home Healthcare Aide
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 3, 2011
- Last updated
- Aug 3, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
100 N Edge DrSouth Hill, VA 23970-1233
Phone 434-447-3981
Mailing address
100 N Edge DrSouth Hill, VA 23970-1233
Phone 434-447-3981
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