Individual
JOHANA TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
426 N INGALLS ST, ANN ARBOR, MI 48109-2003
(734) 763-5985
Mailing address
7824 N CHARLESWORTH ST, DEARBORN HEIGHTS, MI 48127-1612
(407) 936-5220
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704397938
MI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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