Individual
JOHNNIE ANKOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
32707 FAIRCHILD ST, WESTLAND, MI 48186-4911
(734) 674-6344
Mailing address
32707 FAIRCHILD ST, WESTLAND, MI 48186-4911
(734) 674-6344
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
2D4P44LXR343811
MI
Other
Enumeration date
08/29/2016
Last updated
08/29/2016
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