NPI 1235862095

Breah Shanice Johnson

Practitioner Student in an Organized Health Care Education/Training Program Glen Burnie, MD

Practice location

Address: 301 Hospital Dr, Glen Burnie, MD 21061-5803
Phone: (410) 787-4702
Mailing address: 90 Hammonds Ln APT 245, Brooklyn Park, MD 21225-3679

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Maryland →

Registry record

NPI: 1235862095
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Jul 2022
Record last updated: 7 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.