Individual
MRS. NICOLE S JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2045 ASHER CT STE 100, EAST LANSING, MI 48823-8444
(517) 351-9240
(517) 351-9242
Mailing address
1481 TANFORAN PL, OKEMOS, MI 48864-2314
(313) 354-3447
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501001206
MI
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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