Individual
MS. JOHNELLA FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
284 TOWN CENTER DR, HIGHLAND PARK, MI 48203-3683
(313) 728-1792
Mailing address
284 TOWN CENTER DR, HIGHLAND PARK, MI 48203-3683
(313) 728-1792
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
140073
WA
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
230011417371005
MI
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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