Aquirry Johnson
Nurse's Aide in Detroit, MI. Individual provider (NPI-1).
NPI number1114396348
StatusActive
Last updated in NPPESSep 17, 2015
Details
- NPI
- 1114396348
- Entity type
- Individual (NPI-1)
- Name
- Aquirry Johnson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 17, 2015
- Last updated
- Sep 17, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376K00000X | Nurse's Aide | – | – | Yes |
Practice location
5096 S Clarendon StDetroit, MI 48204-2927
Phone 313-675-7878
Mailing address
5096 S Clarendon StDetroit, MI 48204-2927
Phone 313-675-7878
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