Individual
JOHNENE ANN GASTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BC-HIS
Contact information
Practice address
2266 SPRINGPORT RD UNIT D, JACKSON, MI 49202-1454
(517) 788-8000
(517) 788-3898
Mailing address
2266 SPRINGPORT RD UNIT D, JACKSON, MI 49202-1454
(517) 788-8000
(517) 788-3898
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
3208
MI
Other
Enumeration date
02/01/2018
Last updated
02/01/2018
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