Individual
AKIRA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COSMETOLOGIST
Contact information
Practice address
2800 BUSH RIVER RD STE 5, COLUMBIA, SC 29210-5662
(803) 312-3609
Mailing address
2800 BUSH RIVER RD STE 5, COLUMBIA, SC 29210-5662
(803) 312-3609
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/08/2020
Last updated
06/03/2022
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