Individual
JOHANNA JOYCE DELEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN 4704309320
Contact information
Practice address
6309 MACK AVE, DETROIT, MI 48207-2302
(313) 927-4700
(313) 923-8390
Mailing address
17000 CHANDLER PARK DR, DETROIT, MI 48224-2081
(586) 883-1351
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
4704309320
MI
Other
Enumeration date
12/26/2019
Last updated
12/26/2019
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