FALLON CARTER-JOHNSON I

Licensed Practical Nurse

Active Individual
NPI: 1912387655

Practice Address

1284 S ETHEL ST
Detroit, MI 48217

Phone: (313) 595-8635

Specialties

Specialty Code Primary License
Licensed Practical Nurse 164W00000X Yes 4703114413 (MI)

Frequently Asked Questions

NPI 1912387655 is the National Provider Identifier for FALLON CARTER-JOHNSON I, a Licensed Practical Nurse provider located in Detroit, MI. This NPI was enumerated on June 8, 2015.
FALLON CARTER-JOHNSON I practices at 1284 S ETHEL ST, Detroit, MI 48217.

Quick Facts

NPI
1912387655
Type
Individual
Enumerated
Jun 8, 2015
Last Updated
Jun 8, 2015

Nearby Providers