Individual
BRENDA ANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
30501 JEFFERSON AVE, SAINT CLAIR SHORES, MI 48082-1774
(810) 292-7758
Mailing address
30501 JEFFERSON AVE, SAINT CLAIR SHORES, MI 48082-1774
(810) 292-7758
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501005318
MI
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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