Individual
CECILIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40701 HARRIS RD, BELLEVILLE, MI 48111-9180
(734) 796-5021
Mailing address
40701 HARRIS RD, BELLEVILLE, MI 48111-9180
(734) 796-5021
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703113109
MI
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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