Individual
KATLIN BREANNA JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32 TRILLIUM CIR APT 207, DOTHAN, AL 36301-5631
(334) 648-7677
Mailing address
32 TRILLIUM CIR APT 207, DOTHAN, AL 36301-5631
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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