Serenity Johnson
NPI #1780258384 in Bridgeport, Michigan
Provider Information
- NPI Number
- 1780258384
- Entity Type
- Individual
- Name
- Serenity Johnson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- May 18, 2021
- Last Updated
- Mar 25, 2022
Practice Location
- Address
- 6296 VILLAGE SQUARE DRIVE
- Address 2
- 2
- City
- Bridgeport
- State
- Michigan
- ZIP Code
- 48722
- Phone
- (989) 401-1239
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Contact Lens — Contact Lens |
| Behavior Technician |
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