Individual
DIAMOND JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35300 NANKIN BLVD, WESTLAND, MI 48185-7222
(248) 938-7004
Mailing address
35300 NANKIN BLVD, WESTLAND, MI 48185-7222
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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