Individual
MACHELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
61 N WILLOW ST, NO. 4, MESQUITE, NV 89027-4785
(702) 346-4696
(702) 346-4699
Mailing address
61 N WILLOW ST, NO. 4, MESQUITE, NV 89027-4785
(702) 346-4696
(702) 346-4699
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/06/2014
Last updated
10/06/2014
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