Individual
AMANDA NICOLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
5831 RAVENNA AVE, LOUISVILLE, OH 44641-9216
(330) 581-5099
Mailing address
116 EUCLID AVE, MINERVA, OH 44657-1519
(330) 904-8124
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
401158021010
OH
Other
Enumeration date
07/24/2017
Last updated
07/24/2017
About Stedi
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