DETIZ JOHNSON
Technician - Personal Care Attendant
Active
Individual
NPI: 1558649962
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Technician - Personal Care Attendant | 3747P1801X | Yes | - |
Frequently Asked Questions
NPI 1558649962 is the National Provider Identifier for DETIZ JOHNSON, a Technician - Personal Care Attendant provider located in Southgate, MI. This NPI was enumerated on August 2, 2011.
DETIZ JOHNSON practices at 19401 NORTHLINE RD, Southgate, MI 48195.
Quick Facts
- NPI
- 1558649962
- Type
- Individual
- Enumerated
- Aug 2, 2011
- Last Updated
- Aug 2, 2011
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