Individual
KIM JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
317 E MAIN ST, IONIA, MI 48846-1751
(231) 769-3221
Mailing address
317 E MAIN ST, IONIA, MI 48846-1751
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704204360
MI
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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