Individual
NINA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3533 HICKORY AVE SE, GRAND RAPIDS, MI 49508-2502
(616) 329-9107
Mailing address
3533 HICKORY AVE SE, GRAND RAPIDS, MI 49508-2502
(616) 329-9107
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
MI
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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