Individual
STACEY CATHERINE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2525 DEMILLE BLVD, LAPEER, MI 48446-3461
(810) 245-9300
Mailing address
3450 IMLAY CITY RD, ATTICA, MI 48412-9797
(810) 358-8238
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704334876
MI
Other
Enumeration date
07/04/2022
Last updated
07/04/2022
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