Individual
MISS DEMIA NICOLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2284 S BALLENGER HWY STE G, FLINT, MI 48503-3446
(810) 221-7871
Mailing address
5010 WESTERN RD, FLINT, MI 48506-1823
(810) 391-1090
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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