Individual
ALEXIS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 HIGH ST STE 230, SPRINGFIELD, MA 01105-1435
(413) 747-1811
Mailing address
66 MATTOON ST APT 3, SPRINGFIELD, MA 01105-1761
(516) 554-3031
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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