Individual
SHANAE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
14440 COLLINGHAM DR, DETROIT, MI 48205-1219
(586) 388-4812
Mailing address
14440 COLLINGHAM DR, DETROIT, MI 48205-1219
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703130284
MI
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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