Organization
MOTHERS FRIEND MATERNAL INFANT SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DASHUNA RELIEU JOHNSON RN (RN COORDINATOR/CEO)
(248) 559-5722
Entity
Organization
Contact information
Practice address
16250 NORTHLAND DR, SUITE 239, SOUTHFIELD, MI 48075
(248) 559-5722
(248) 559-5622
Mailing address
16250 NORTHLAND DR, SUITE 239, SOUTHFIELD, MI 48075
(248) 559-5722
(248) 559-5622
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4556235
—
MI
Enumeration date
12/05/2006
Last updated
04/25/2019
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