Tia De'antranise Johnson

NPI #1740915123 in Pinson, Alabama

Provider Information

NPI Number
1740915123
Entity Type
Individual
Name
Tia De'antranise Johnson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
Jul 20, 2022
Last Updated
Jul 20, 2022

Practice Location

Address
7868 FOREST LOOP
City
Pinson
State
Alabama
ZIP Code
35126-4087
Phone
(205) 356-6337

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program

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