Individual
JABRIL CORTEZ JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
26460 WESTPHAL ST APT 117, DEARBORN HEIGHTS, MI 48127-3777
(313) 942-2904
Mailing address
26460 WESTPHAL ST APT 117, DEARBORN HEIGHTS, MI 48127-3777
(313) 942-2904
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/17/2024
Last updated
10/29/2024
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