Jissa Johnson
Jissa Johnson is an Other Technician in Dearborn, Michigan. Practices as a sole proprietor. Registered with an NPI since 2015.
- In the registry since
- 2015
Practice location Address checks out
3231 S Gulley RdDearborn, MI 48124-4407
Phone: (313) 418-8538
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Other Technician (primary) | Taxonomy 247200000X |
|---|
Record details
| NPI number | 1093106932 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 13, 2015 |
| Last updated in NPPES | February 13, 2015 |
| Mailing address | 136 William St, Springfield, MA 01105-2324 |
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