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Ebony Johnson
NPI 1538618228 · on the registry since 2016
Practice
- Address
- 25100 W 8 Mile Rd
Southfield, MI 48033 - Phone
- (313) 806-4811
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-09-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan