Individual
AYANNA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
800 M139, BENTON HARBOR, MI 49022
(855) 869-6900
(269) 927-5493
Mailing address
50 INDUSTRIAL PARK ROAD, BANGOR, MI 49013
(269) 427-7937
(269) 427-5180
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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