Individual
CHRISTINE LOUISE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
48926 STATE ROUTE 14, NEW WATERFORD, OH 44445-9734
(330) 846-0091
Mailing address
48926 STATE ROUTE 14, NEW WATERFORD, OH 44445-9734
(330) 846-0091
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN350392
OH
Other
Enumeration date
10/04/2019
Last updated
10/04/2019
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