Ja'lia Johnson

NPI #1629550272 in Van Buren Twp, Michigan

Provider Information

NPI Number: 1629550272
Entity Type: Individual
Name: Ja'lia Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Aug 30, 2018
Last Updated: Aug 30, 2018

Practice Location

Address: 6516 FLORENCE LN
City: Van Buren Twp
State: Michigan
ZIP Code: 48111-5267
Phone: (313) 969-6134

Specialties & Taxonomy Codes

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

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