Individual
LEOLA MARIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
708 CAPITAL AVE NE, BATTLE CREEK, MI 49017-5639
(269) 420-5697
(269) 969-3128
Mailing address
708 CAPITAL AVE NE, BATTLE CREEK, MI 49017-5639
(269) 420-5697
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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