Individual
SHANONIELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
Mailing address
35459 TIMBERWOOD CT, CLINTON TOWNSHIP, MI 48035-2160
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704271067
MI
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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