Individual
AUDRE S JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9723 GARDNER ST LOT 180, YPSILANTI, MI 48198-9489
(734) 330-1868
Mailing address
9723 GARDNER ST LOT 180, YPSILANTI, MI 48198-9489
(734) 330-1868
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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