DETRIC D JOHNSON

BUFFALO, NY
NPI1568958890
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2018-07-10
Last Update Date2019-06-06
Business Address
DETRIC D JOHNSON
535 WYOMING AVE STE 1
BUFFALO, NY 14215-3137
Phone number: 716-253-1847
Mailing Address
DETRIC D JOHNSON
535 WYOMING AVE STE 1
BUFFALO, NY 14215-3137
Phone number: 716-253-1847
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