Individual
PERLENA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
28955 RICHARD ST., WESTLAND, MI 48186-5393
(734) 971-6300
Mailing address
28955 RICHARD ST., WESTLAND, MI 48186-5393
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703076925
MI
Other
Enumeration date
06/08/2011
Last updated
06/08/2011
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