Most Relevant Information
Provider Data
| NPI Number: | 1003684564 |
| Provider Name: | NATIMA JOHNSON |
| Entity Type: | Individual |
| Taxonomy Code: | 372500000X |
| Specialty: | Chore Provider |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/14/2023 |
| Last Updated: | 12/14/2023 |
Provider Practice Location
9631 MCKINNEY ST
DETROIT
MI
482242532
Practice Location Phone/Fax
| Phone: | 3137402662 |
| Fax: |
Provider Mailing Location
9631 MCKINNEY ST
DETROIT
MI
482242532
Provider Mailing Phone/Fax
| Phone: | 3137402662 |
| Fax: |