Individual
KAYLA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4304 PINE RIDGE PKWY NE APT 302, GRAND RAPIDS, MI 49525-1980
(616) 821-4676
Mailing address
4304 PINE RIDGE PKWY NE APT 302, GRAND RAPIDS, MI 49525-1980
(616) 821-4676
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/19/2016
Last updated
06/19/2016
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