| Ms Andrea Viretta Johnson, LPN | |
|
13340 E Warren Ave, Detroit, MI 48215-2112 | |
| (313) 822-6940 | |
| (313) 822-6946 |
| Full Name | Ms Andrea Viretta Johnson |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 13340 E Warren Ave, Detroit, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083865208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 4703054592 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Andrea Viretta Johnson, LPN 13340 E. Warren Avenue, Detroit, MI 48215 Ph: (313) 822-6940 | Ms Andrea Viretta Johnson, LPN 13340 E Warren Ave, Detroit, MI 48215-2112 Ph: (313) 822-6940 |
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