Individual
BREANNA RENA JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
379 GAINES REED RD, MC INTOSH, AL 36553-6517
(251) 459-4742
Mailing address
379 GAINES REED RD, MC INTOSH, AL 36553-6517
(251) 459-4742
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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