Evette Johnson

NPI #1134683469 in Grandview, Missouri

Provider Information

NPI Number: 1134683469
Entity Type: Individual
Name: Evette Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 31, 2019
Last Updated: Jan 31, 2019

Practice Location

Address: 15225 GRAND SUMMIT EXT APT 104
City: Grandview
State: Missouri
ZIP Code: 64030-4686
Phone: (816) 519-6211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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