Individual
MRS. GERALDINE MOREHEAD-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9605 GRAND RIVER AVE, DETROIT, MI 48204-2139
(313) 834-5930
Mailing address
21830 AVON RD, OAK PARK, MI 48237-2519
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704093654
MI
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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