SHANTAE MONAE JOHNSON

DETROIT, MI
NPI1417406752
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: MI  4704245204)
Enumeration Date2016-09-28
Last Update Date2016-09-28
Business Address
Mrs. SHANTAE MONAE JOHNSON AGACNP-BC
6071 W OUTER DR
DETROIT, MI 48235-2624
Phone number: 313-966-6075
Mailing Address
Mrs. SHANTAE MONAE JOHNSON AGACNP-BC
11331 HAZELTON
REDFORD, MI 48239-1429
Phone number: 313-231-6110
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