Individual
DOLORES JOYCE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8143 HONEY LN, CANTON, MI 48187-4105
(734) 329-3070
Mailing address
8143 HONEY LN, CANTON, MI 48187-4105
(734) 329-3070
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703111370
MI
Other
Enumeration date
03/06/2014
Last updated
03/06/2014
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