Individual
ASHLEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6599 KINGS POINTE RD, GRAND BLANC, MI 48439-8798
(810) 399-8808
Mailing address
6599 KINGS POINTE RD, GRAND BLANC, MI 48439-8798
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704335291
MI
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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