Individual
AQUIRRY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5096 S CLARENDON ST, DETROIT, MI 48204-2927
(313) 675-7878
Mailing address
5096 S CLARENDON ST, DETROIT, MI 48204-2927
(313) 675-7878
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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