Individual
MRS. WILLIE JOYCE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSING ASSISTANT
Contact information
Practice address
15802 LESURE ST, DETROIT, MI 48227-3336
(877) 526-3186
Mailing address
15802 LESURE ST, DETROIT, MI 48227-3336
(877) 526-3186
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
230002612990406
MI
Other
Enumeration date
04/28/2009
Last updated
04/28/2009
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