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Tia De'antranise Johnson
Student in an Organized Health Care Education/Training Program in Pinson, Alabama
NPI 1740915123

Tia De'antranise Johnson is a Student in an Organized Health Care Education/Training Program based in Pinson, AL. Tia De'antranise Johnson practices in Pinson, AL. The NPI Number for Tia De'antranise Johnson is 1740915123 and holds a License No. (Alabama).

The current practice location address for Tia De'antranise Johnson is 7868 Forest Loop, Pinson, AL and can be reached out via phone at 205-356-6337.

Location: 7868 Forest Loop, Pinson, AL, 35126-4087
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740915123
Provider Name
Tia De'antranise Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
7868 Forest Loop, Pinson, AL, 35126-4087
Phone Number
205-356-6337
Fax Number
Provider Enumeration Date
07/20/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7868 Forest Loop
City
Pinson
State
Alabama
Zip
35126-4087
Phone Number
205-356-6337
Fax Number
person
Provider Business Mailing Address Details
Address
7868 Forest Loop
City
Pinson
State
Alabama
Zip
35126-4087
Phone Number
205-356-6337
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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