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Breah Shanice Johnson
Student in an Organized Health Care Education/Training Program in Glen Burnie, Maryland
NPI 1235862095

Breah Shanice Johnson is a Student in an Organized Health Care Education/Training Program based in Brooklyn Park, MD. Breah Shanice Johnson practices in Glen Burnie, MD. The NPI Number for Breah Shanice Johnson is 1235862095 and holds a License No. (Maryland).

The current practice location address for Breah Shanice Johnson is 301 Hospital Dr, Glen Burnie, MD and can be reached out via phone at 410-787-4702.

Location: 301 Hospital Dr, Glen Burnie, MD, 21225-3679
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235862095
Provider Name
Breah Shanice Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
301 Hospital Dr, Glen Burnie, MD, 21225-3679
Phone Number
410-787-4702
Fax Number
Provider Enumeration Date
07/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
301 Hospital Dr
City
Glen Burnie
State
Maryland
Zip
21061-5803
Phone Number
410-787-4702
Fax Number
person
Provider Business Mailing Address Details
Address
301 Hospital Dr
City
Glen Burnie
State
Maryland
Zip
21061-5803
Phone Number
410-787-4702
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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