Individual
AMBER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2521 N ELMS RD, FLUSHING, MI 48433-9423
(866) 498-3909
Mailing address
19177 BURT RD, DETROIT, MI 48219-1953
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703126136
MI
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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