Individual
TIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 3RD ST, MUSKEGON, MI 49441-2170
(231) 722-9622
Mailing address
935 FOUR SEASONS BLVD, AURORA, IL 60504-4338
(630) 414-7744
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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