Individual
CARLA B JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10000 CORNING ST, OAK PARK, MI 48237-2902
(248) 986-4751
Mailing address
10000 CORNING ST, OAK PARK, MI 48237-2902
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704195225
MI
Other
Enumeration date
10/19/2017
Last updated
10/19/2017
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