Individual
VENUS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1029 STUDEBAKER AVE, YPSILANTI, MI 48198-6284
(734) 747-0408
Mailing address
1029 STUDEBAKER AVE, YPSILANTI, MI 48198-6284
(734) 747-0408
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703103348
MI
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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