Bridget Renee Johnson

NPI #1578833919 in Tustin, Michigan

Provider Information

NPI Number
1578833919
Entity Type
Individual
Name
Bridget Renee Johnson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Contractor
Enumeration Date
Jan 2, 2012
Last Updated
Jan 2, 2012

Practice Location

Address
20090 210TH AVE
City
Tustin
ZIP Code
49688-8210
Phone
(231) 829-5095

Specialties & Taxonomy Codes

Specialty
Contractor

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