MICHELE DAWN JOHNSON

BLUE LAKE, CA
NPI1205360088
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: CA  654)
Enumeration Date2017-04-18
Last Update Date2017-04-18
Business Address
-- MICHELE DAWN JOHNSON RDHAP
520 GREENWOOD AVE.
BLUE LAKE, CA 95525-0903
Phone number: 707-668-5683
Mailing Address
-- MICHELE DAWN JOHNSON RDHAP
PO BOX 903 520 GREENWOOD AVE.
BLUE LAKE, CA 95525-0903
Phone number: 707-668-5683
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