Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS JAQUITSHA LA'KWONSHAY TYSON-JOHNSON
Active Sole ProprietorMISS JAQUITSHA LA'KWONSHAY TYSON-JOHNSON is a Prosthetic/Orthotic Supplier healthcare provider located in PALM CITY, Florida. NPI 1063239572 is currently active in the NPPES registry. Verify at CMS.
Prosthetic/Orthotic Supplier · PALM CITY, FL
Registration Details
- NPI Number
- 1063239572
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 25, 2024 (1.9186947575925 yrs)
- Last Updated
- Nov 9, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
2047 SW DANFORTH CIRPALM CITY, FL, 349907704Browse FL providers · Browse ZIP 34990
- Phone
- 7724852242
- Primary Specialty
-
Prosthetic/Orthotic Supplier
335E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.