Individual
PHILLIP D'JUAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
882 OAKMAN BLVD, DETROIT, MI 48238-3710
(313) 967-5950
Mailing address
882 OAKMAN BLVD, DETROIT, MI 48238-3710
(313) 967-5950
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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