Individual
MS. ALETA MICHELLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIR LOSS SPECIALIST
Contact information
Practice address
9711 DAVID TAYLOR DR., STE. 145, CHARLOTTE, NC 28262
(980) 458-5377
Mailing address
9431 ARBORVIEW CT, CHARLOTTE, NC 28269
(980) 458-5377
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
C93093
NC
224P00000X
Prosthetist
Primary
C93093
NC
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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