MATTIE B. JOHNSON

DETROIT, MI
NPI1750808648
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: MI  4704224916)
Enumeration Date2017-08-23
Last Update Date2017-08-23
Business Address
Mrs. MATTIE B. JOHNSON AGPCNP
13599 VIRGIL ST
DETROIT, MI 48223-3050
Phone number: 313-535-6050
Mailing Address
Mrs. MATTIE B. JOHNSON AGPCNP
13599 VIRGIL ST
DETROIT, MI 48223-3050
Phone number: 313-535-6050
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