Individual
LATONDA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
406 W GRAND AVE, LIMA, OH 45801-4057
(419) 604-1901
Mailing address
406 W GRAND AVE, LIMA, OH 45801-4057
(419) 604-1901
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401069270410
OH
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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