Individual provider · Type 1 NPI

Jacole Tamara Johnson

Technician/Technologist · Bingham Farms, MI

NPI number 1487295069 Active

Practice location

32100 Telegraph Rd Ste 20
Bingham Farms, MI 48025-2452

Call (248) 712-4266 Map

Specialties and licenses

TaxonomyCodeLicense
Technician/Technologist Primary 156F00000XNone listed

Technician/Technologist: A broad category grouping different kinds of technologists and technicians. See individual definitions.

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About NPI 1487295069

Jacole Tamara Johnson's National Provider Identifier is 1487295069, issued on Oct 4, 2019. The primary taxonomy on file is Technician/Technologist (156F00000X), and the practice location is in Bingham Farms, MI. The record was last updated on Oct 4, 2019.