Individual
MS. MICHELE TERESA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
27000 ZEMAN AVE., EUCLID, OH 44132-0425
(216) 731-1162
Mailing address
27000 ZEMAN AVE., P.O.BOX 32425, EUCLID, OH 44132-0425
(216) 731-1162
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401443120912
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0069987
—
OH
Enumeration date
07/31/2013
Last updated
07/31/2013
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