Makayla Rose Johnson

NPI #1275071391 in Gaston, Indiana

Provider Information

NPI Number: 1275071391
Entity Type: Individual
Name: Makayla Rose Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Feb 9, 2017
Last Updated: Feb 9, 2017

Practice Location

Address: 17001 N ANGLER CLUB RD
City: Gaston
State: Indiana
ZIP Code: 47342-9225
Phone: (765) 702-7167

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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