Individual
MRS. BETH G JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4114 N PINE ISLAND RD APT 227, SUNRISE, FL 33351-6031
(954) 547-6308
Mailing address
4114 N PINE ISLAND RD APT 227, SUNRISE, FL 33351-6031
(313) 287-9033
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
7501016206
MI
225700000X
Massage Therapist
Primary
MA104423
FL
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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