NPI 1013460690
Bria Latoya Johnson
Practice location
- Address
- 479 Visger Rd, Ecorse, MI 48229-1365
- Phone
- (313) 595-5496
- Mailing address
- PO Box 1352, Lincoln Park, MI 48146-7152
Registered specialties
Contractor
Primary
Registry record
- NPI
- 1013460690
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 29 Jul 2016
- Record last updated
- 18 Jul 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.