REGINA RENEE JOHNSON

WEST BLOOMFIELD, MI
NPI1356781041
Former NameREGINA RENEE WALLER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MI  4704236041)
Enumeration Date2013-06-27
Last Update Date2017-10-26
Business Address
Ms. REGINA RENEE JOHNSON NP
4301 ORCHARD LAKE RD STE 180
WEST BLOOMFIELD, MI 48323-1684
Phone number: 313-492-5807
Mailing Address
Ms. REGINA RENEE JOHNSON NP
4301 ORCHARD LAKE RD STE 180
WEST BLOOMFIELD, MI 48323-1684
Phone number: 313-492-5807
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