| Mia Johnson, | |
|
2 W Aylesbury Rd, Timonium, MD 21093-4101 | |
| (410) 561-9591 | |
| Not Available |
| Full Name | Mia Johnson |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 2 W Aylesbury Rd, Timonium, Maryland |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275108946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 55246 (Maryland) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mia Johnson, 2 W Aylesbury Rd, Timonium, MD 21093-4101 Ph: () - | Mia Johnson, 2 W Aylesbury Rd, Timonium, MD 21093-4101 Ph: (410) 561-9591 |
Desiree Grady, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2 W Aylesbury Rd, Timonium, MD 21093 Phone: 410-561-9591 | |
Katherine Williams, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2 W Aylesbury Rd, Timonium, MD 21093 Phone: 410-561-9591 | |
Lydie Dorsainvil, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2 W Aylesbury Rd, Timonium, MD 21093 Phone: 410-561-9591 |