Individual
DEMARKCO L JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10815 TACOMA AVE, CLEVELAND, OH 44108-3643
(216) 972-0392
Mailing address
10815 TACOMA AVE, CLEVELAND, OH 44108-3643
(216) 972-0392
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
TQ678211
OH
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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