Individual
TONYA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1325 CHENE ST APT 315, DETROIT, MI 48207-3847
(313) 728-2943
Mailing address
3922 MCDOUGALL ST, DETROIT, MI 48207-1665
(313) 728-2943
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251E00000X
Home Health Agency
Primary
—
—
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
02/08/2025
Last updated
02/13/2025
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