Individual
MICHELLE M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
808 PARK DR, DUNBAR, WV 25064-2623
(304) 542-4511
Mailing address
808 PARK DR, DUNBAR, WV 25064-2623
(304) 542-4511
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
WV
376J00000X
Homemaker
—
—
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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