DERMAINE ANTWAN JOHNSON

MERIDIAN, MS
NPI1073975066
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1744P3200X Specialist, Prosthetics Case Management
(Licence: MS  5055)
Enumeration Date2016-03-28
Last Update Date2016-03-28
Business Address
Mr. DERMAINE ANTWAN JOHNSON Certified Hair Loss
3500 HIGHWAY 39 N APT 77
MERIDIAN, MS 39301-1339
Phone number: 334-505-7628
Mailing Address
Mr. DERMAINE ANTWAN JOHNSON Certified Hair Loss
3500 HIGHWAY 39 N APT 77
MERIDIAN, MS 39301-1339
Phone number: 334-505-7628