Mr. Dermaine Antwan Johnson, CERTIFIEDHAIRLOSS
Mr. Dermaine Antwan Johnson, CERTIFIEDHAIRLOSS is a Prosthetics Case Management in Meridian, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.
- Licensed in
- MS
- In the registry since
- 2016
Practice location Address checks out
3500 Highway 39 N Apt 77Meridian, MS 39301-1339
Phone: (334) 505-7628
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthetics Case Management (primary) | Taxonomy 1744P3200X · Licence 5055 (MS) |
|---|
Record details
| NPI number | 1073975066 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CERTIFIEDHAIRLOSS |
| Sole proprietor | Yes |
| NPI enumerated | March 28, 2016 |
| Last updated in NPPES | March 28, 2016 |