Individual provider · Type 1 NPI

Breah Shanice Johnson

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

NPI number 1235862095 Active

Practice location

301 Hospital Dr
Glen Burnie, MD 21061-5803

Call (410) 787-4702 Map

Mailing address

90 Hammonds Ln Apt 245
Brooklyn Park, MD 21225-3679

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1235862095

Breah Shanice Johnson's National Provider Identifier is 1235862095, issued on Jul 7, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Glen Burnie, MD. The record was last updated on Jul 7, 2022.