Individual
AUNDREA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2933 MICHIGAN AVENUE RD NE APT 1, CLEVELAND, TN 37323-5484
(423) 310-1240
Mailing address
2933 MICHIGAN AVENUE RD NE APT 1, CLEVELAND, TN 37323-5484
(423) 310-1240
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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