Individual
JASMINE TAMERA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15819 FIELDING ST, DETROIT, MI 48223-1106
(248) 445-0416
Mailing address
15819 FIELDING ST, DETROIT, MI 48223-1106
(248) 445-0416
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
171M00000X.
MI
Other
Enumeration date
03/26/2021
Last updated
08/31/2022
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