Individual
MAKAYLA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 CUMBERLAND SQ, LEBANON, TN 37087-3408
(615) 444-2562
Mailing address
327 GOLFVIEW LN, SPRINGFIELD, TN 37172-4017
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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