KRYSTAL GENEVA JOHNSON

SUFFOLK, VA
NPI1790096717
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2010-06-24
Last Update Date2010-06-24
Business Address
Miss KRYSTAL GENEVA JOHNSON M.Ed., ATC
5838 HARBOUR VIEW BLVD STE 130
SUFFOLK, VA 23435-2663
Phone number: 757-673-5971
Mailing Address
Miss KRYSTAL GENEVA JOHNSON M.Ed., ATC
3919 BREEZEPORT WAY APT 203
SUFFOLK, VA 23435-3808
Phone number: 757-484-7477