Individual
KRISTINE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 NATIONAL AVE NW, APT 6, GRAND RAPIDS, MI 49504-5594
(616) 589-8778
Mailing address
325 NATIONAL AVE NW, APT 6, GRAND RAPIDS, MI 49504-5594
(616) 589-8778
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
J523478040704
MI
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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