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MS. ANDREA VIRETTA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
13340 E WARREN AVE, DETROIT, MI 48215-2112
(313) 822-6940
(313) 822-6946
Mailing address
13340 E. WARREN AVENUE, DETROIT, MI 48215
(313) 822-6940
(313) 822-6946

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703054592
MI

Other

Enumeration date
10/07/2008
Last updated
10/07/2008
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