Individual
HAYLEY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1917 MARIAN DR APT D, TRENTON, MI 48183-4179
(734) 217-7314
Mailing address
1917 MARIAN DR APT D, TRENTON, MI 48183-4179
(734) 217-7314
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704268784
MI
Other
Enumeration date
05/19/2016
Last updated
05/19/2016
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