Search › Michigan › 101YM0800X
Jevon Johnson
NPI 1477329902 · on the registry since 2023 · sole proprietor
Practice
- Address
- 35425 W Michigan Ave
Wayne, MI 48184 - Phone
- (313) 587-6940
- Organisation at this address
- Community Living Services, Inc.
Community Living Services, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 309
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Sex
- Male
- Record last updated
- 2023-11-27
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