Individual
JASON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
97 W 22ND ST, HOLLAND, MI 49423-4771
(231) 683-8164
Mailing address
97 W 22ND ST, HOLLAND, MI 49423-4771
(231) 683-8164
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
MI
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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