Individual
CICELY LATRICE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3080 ARIES CT, CINCINNATI, OH 45251-2630
(513) 814-2672
Mailing address
3080 ARIES CT, CINCINNATI, OH 45251-2630
(513) 814-2672
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Enumeration date
03/12/2024
Last updated
03/12/2024
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