ANTWONE JOHNSON SR., LPN

Licensed Practical Nurse

Active Individual
NPI: 1558604801

Practice Address

9605 GRAND RIVER AVE
Detroit, MI 48204

Phone: (313) 834-5930

Specialties

Specialty Code Primary License
Licensed Practical Nurse 164W00000X Yes 4703110366 (MI)

Frequently Asked Questions

NPI 1558604801 is the National Provider Identifier for ANTWONE JOHNSON SR., LPN, a Licensed Practical Nurse provider located in Detroit, MI. This NPI was enumerated on April 4, 2013.
ANTWONE JOHNSON SR., LPN practices at 9605 GRAND RIVER AVE, Detroit, MI 48204.

Quick Facts

NPI
1558604801
Type
Individual
Enumerated
Apr 4, 2013
Last Updated
Apr 4, 2013

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