Individual
MICHELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3208 GLEN AVE, BALTIMORE, MD 21215-3964
(443) 584-6970
Mailing address
331 BRUSHWOOD DR, OWINGS MILLS, MD 21117-1382
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/03/2024
Last updated
09/14/2024
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