Individual
BREAH SHANICE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 HOSPITAL DR, GLEN BURNIE, MD 21061-5803
(410) 787-4702
Mailing address
90 HAMMONDS LN APT 245, BROOKLYN PARK, MD 21225-3679
(678) 939-5446
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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