Individual
BETTIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25881 MAPLE DR, TAYLOR, MI 48180-9313
(313) 898-4455
Mailing address
26504 YALE ST, INKSTER, MI 48141-2663
(734) 299-1890
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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