Individual
MS. CORLONDA DESIREE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11224 COURVILLE ST, DETROIT, MI 48224-2464
(313) 739-5208
Mailing address
11224 COURVILLE ST, DETROIT, MI 48224-2464
(313) 739-5208
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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