Individual
YOLANDA M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29491 HANOVER BLVD, WESTLAND, MI 48186-5181
(734) 286-2935
Mailing address
29491 HANOVER BLVD, WESTLAND, MI 48186-5181
(734) 286-2935
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703087822
MI
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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