Detiz Johnson
Detiz Johnson is a Personal Care Attendant in Southgate, Michigan. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
19401 Northline RdSouthgate, MI 48195-2277
Phone: (734) 785-7718
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Personal Care Attendant (primary) | Taxonomy 3747P1801X |
|---|
Record details
| NPI number | 1558649962 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 2, 2011 |
| Last updated in NPPES | August 2, 2011 |
| Mailing address | 1850 S Liddesdale St, Detroit, MI 48217-1146 |
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19401 Northline Rd, Southgate, MI 48195-2277 · (734) 785-7718
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19401 Northline Rd, Southgate, MI 48195-2277 · (734) 785-7718