Individual
REBECCA ANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 INDIAN TRL SW, WARREN, OH 44481-9609
(234) 855-6276
Mailing address
22 INDIAN TRL SW, WARREN, OH 44481-9609
(234) 855-6276
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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