DEYANKA JOHNSON

DETROIT, MI
NPI1841696606
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy302R00000X Health Maintenance Organization
(Licence: MI  00000000000000000000)
Enumeration Date2014-11-06
Last Update Date2014-11-06
Business Address
-- DEYANKA JOHNSON
2925 RUSSELL ST
DETROIT, MI 48239-1093
Phone number: 313-396-5300
Mailing Address
-- DEYANKA JOHNSON
7557 LAMPHERE
DETROIT, MI 48239-1093
Phone number: 313-718-4175