Individual
DEREK JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
7433 MONTGOMERY RD, CINCINNATI, OH 45236-4160
(513) 439-4761
Mailing address
802 W MAIN ST, LOVELAND, OH 45140-2508
(513) 439-4761
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
65.000200
OH
Other
Enumeration date
04/20/2011
Last updated
04/20/2011
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