Individual
MAKENZIE MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
635 BARNHILL DR, INDIANAPOLIS, IN 46202-5126
(317) 274-8157
Mailing address
3632 MIDDLEFIELD DR APT B, INDIANAPOLIS, IN 46222-1762
(423) 902-6436
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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