Individual
MICHELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 4TH ST, WORCESTER, MA 01602-3108
(774) 535-6378
Mailing address
20 4TH ST, WORCESTER, MA 01602-3108
(774) 535-6378
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN229294
MA
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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