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Ms. Krystal Michele Johnson
Contractor in Pontiac, Michigan
NPI 1063536571

Krystal Michele Johnson is a Contractor based in Pontiac, MI. Krystal Michele Johnson practices in Pontiac, MI. The NPI Number for Krystal Michele Johnson is 1063536571 and holds a License No. 5681890001 (Michigan).

The current practice location address for Krystal Michele Johnson is 31 Oakland Ave, Pontiac, MI and can be reached out via phone at 248-758-9813 and via fax at 248-758-9815.

Location: 31 Oakland Ave, Pontiac, MI, 48342-2019
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063536571
Provider Name
Krystal Michele Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
31 Oakland Ave, Pontiac, MI, 48342-2019
Phone Number
248-758-9813
Fax Number
248-758-9815
Provider Enumeration Date
03/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4641944 05 MI
institution
Provider Business Practice Location Address Details
Address
31 Oakland Ave
City
Pontiac
State
Michigan
Zip
48342-2019
Phone Number
248-758-9813
Fax Number
248-758-9815
person
Provider Business Mailing Address Details
Address
31 Oakland Ave
City
Pontiac
State
Michigan
Zip
48342-2019
Phone Number
248-758-9813
Fax Number
248-758-9815
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
-
Taxonomy
171W00000X
License No.
5681890001 (Michigan)
Definition
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
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