Individual provider · Type 1 NPI
Alysha Johnson, COSMETOLOGIST
Specialist · North Little Rock, AR
NPI number
1780209387
Active
Practice location
4618 Jfk Blvd
North Little Rock, AR 72116-7311
Mailing address
904 Bittercress Dr
North Little Rock, AR 72117-9756
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 29141 (AR) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1780209387
Alysha Johnson, COSMETOLOGIST's National Provider Identifier is 1780209387, issued on Jun 10, 2020. The primary taxonomy on file is Specialist (174400000X), and the practice location is in North Little Rock, AR. The record was last updated on Jun 10, 2020.