Christina M. Johnson BSPH, CBD-CPD, IBCLC
Full Name
Christina M Johnson BSPH, CBD-CPD, IBCLC
NPI Number
1285312595
NPI Type
Individual Provider
Gender
Female
Enumeration Date
07/06/2023
Specialties
(Taxonomies)Name
Code
372600000X
372500000X
172V00000X
374J00000X
171400000X
174H00000X
376K00000X
133NN1002X
405300000X
Primary Taxonomy
No
No
No
No
No
No
No
No
No
Licenses
State
Michigan
License Number
DP-CPS8305
Contact
Information
Purpose
Mailing
Location
Address
25151 DEQUINDRE RD LOT 67
905 W 11 MILE RD
City
Madison Heights
Madison Heights
State
MI
MI
Postal Code
48071-4221
48071-3103
Country
US
US
Telephone Number
(734) 224-5471
(734) 224-5471
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/29/2024