Individual
NEDRA ELIZABETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12850 PLYMOUTH RD, DETROIT, MI 48227-3725
(313) 491-7890
(313) 491-0010
Mailing address
12850 PLYMOUTH RD, DETROIT, MI 48227-3725
(313) 491-7890
(313) 491-0010
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MI
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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