ANTWONE JOHNSON

DETROIT, MI
NPI1558604801
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MI  4703110366)
Enumeration Date2013-04-04
Last Update Date2013-04-04
Business Address
ANTWONE JOHNSON LPN
9605 GRAND RIVER AVE
DETROIT, MI 48204-2139
Phone number: 313-834-5930
Mailing Address
ANTWONE JOHNSON LPN
3851 MCCLELLAN ST
DETROIT, MI 48214-1311
Phone number: 313-829-2557