Individual
JOHNNIE MICHAEL LAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 N WASHINGTON ST STE 2, OXFORD, MI 48371-4665
(248) 981-6415
Mailing address
PO BOX 727, OXFORD, MI 48371-0727
(248) 981-6415
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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