Individual
HEATHER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2040 MORRISH ST, BURTON, MI 48519-1021
(810) 348-2016
Mailing address
2040 MORRISH ST, BURTON, MI 48519-1021
(810) 348-2016
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/12/2014
Last updated
09/12/2014
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