Individual
MRS. PATRICIA LYNNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6318 EASTONDALE RD, MAYFIELD HEIGHTS, OH 44124
(440) 942-5810
Mailing address
304 E 248TH ST, EUCLID, OH 44123-1439
(216) 731-4412
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2658146
—
OH
Enumeration date
09/28/2006
Last updated
07/01/2008
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