Individual
JOHNNY BERONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 E WASHINGTON ST STE 100, ANN ARBOR, MI 48104-2057
(734) 764-3471
Mailing address
530 CHURCH ST # 2261, ANN ARBOR, MI 48109-1043
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
6301016022
MI
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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