Individual
TANYA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
1200 WRIGHT ST STE A, MARQUETTE, MI 49855-1837
(906) 936-0921
(906) 936-0911
Mailing address
1200 WRIGHT ST STE A, MARQUETTE, MI 49855-1837
(906) 936-0921
(906) 936-0911
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MI
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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