Individual
ANGELA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17300 SANTA BARBARA DR, DETROIT, MI 48221-2527
(313) 926-9541
Mailing address
PO BOX 47174, OAK PARK, MI 48237-4874
(844) 932-5663
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/02/2015
Last updated
07/02/2015
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