DOMINIQUE LATRICE JOHNSON

SOUTHFIELD, MI
NPI1386218147
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MI  5151015221)
Enumeration Date2021-05-17
Last Update Date2021-07-07
Business Address
DOMINIQUE LATRICE JOHNSON DO
22250 PROVIDENCE DR STE 557
SOUTHFIELD, MI 48075-6213
Phone number: 248-849-3447
Mailing Address
DOMINIQUE LATRICE JOHNSON DO
22250 PROVIDENCE DR STE 557
SOUTHFIELD, MI 48075-6213
Phone number: 248-849-3447
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