Individual
JAIELYN ALEXIS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2284 S BALLENGER HWY STE G, FLINT, MI 48503-3446
(810) 221-7871
Mailing address
5345 BIRCHTREE CT, FLINT, MI 48532-3301
(810) 262-1984
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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