Individual
SHARNIECE ALEXIS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17355 KENTUCKY ST, DETROIT, MI 48221-2406
(313) 957-9266
Mailing address
17355 KENTUCKY ST, DETROIT, MI 48221-2406
(313) 957-9266
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
05/20/2019
Last updated
05/20/2019
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