Individual
DESTINIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
600 FREEDOM DR, NAPOLEON, OH 43545-9038
(419) 599-5416
(419) 599-4775
Mailing address
600 FREEDOM DR, NAPOLEON, OH 43545-9038
(419) 599-5416
(419) 599-4775
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.161249.MEDS-IV
OH
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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