JOHNNA BROADNAX

EAST LANSING, MI
NPI1104648708
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2024-10-26
Last Update Date2024-10-26
Business Address
JOHNNA BROADNAX
1302 PORTAGE PATH
EAST LANSING, MI 48823-2034
Phone number: 616-634-2923
Mailing Address
JOHNNA BROADNAX
1302 PORTAGE PATH
EAST LANSING, MI 48823-2034
Phone number: 616-634-2923