Individual
MISS JEVESTINE FAITH JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
134 PARKER AVE, KALAMAZOO, MI 49001-5350
(269) 303-0132
Mailing address
134 PARKER AVE, KALAMAZOO, MI 49001-5350
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
05/12/2016
Last updated
05/12/2016
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