Blake Allan Johnson is a student in an organized health care education training program in Boston, MA. The provider is 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. Blake Allan Johnson NPI is 1164938288. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
55 FRUIT ST GRB-425
BOSTON, MA
ZIP 02114-696
Phone: (617) 726-2800
The enumeration date for this NPI number is 12/27/2017 and was last updated on 4/9/2024.