MRS. SHANTAE MONAE JOHNSON, AGACNP-BC
Nursing at Outer Dr, Detroit, MI

License number
Michigan 4704245204
Category
Nursing
Type
Acute Care
Address
Address
6071 W Outer Dr, Detroit, MI 48235
Phone
(313) 966-6075
(313) 231-6110
National Provider ID: 1417406752
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

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Name
Address
Phone
Shantae Johnson, age 45
8115 Grandville Ave, Detroit, MI 48228
Shantae Johnson
16585 Bramell St, Detroit, MI 48219
Shantae Johnson
15471 Braile St, Detroit, MI 48223
(313) 825-8102
Shantae Johnson
13927 Robson St, Detroit, MI 48227
Shantae L Johnson, age 37
19396 Kenosha St, Harper Woods, MI 48225
(313) 245-5474
(313) 372-3621
(313) 527-4426

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