Individual
HEATHER LEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5351 MITCHAW RD, SYLVANIA, OH 43560-9406
(419) 824-6699
Mailing address
5351 MITCHAW RD, SYLVANIA, OH 43560-9406
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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