Individual
YULONDA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14831 TRINITY ST, DETROIT, MI 48223-2058
(313) 844-4628
Mailing address
14831 TRINITY ST, DETROIT, MI 48223-2058
(313) 844-4628
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5910644
—
MI
Enumeration date
06/08/2015
Last updated
06/08/2015
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