Individual
MRS. CHRISTINA DENISE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4616 IRA AVE, CLEVELAND, OH 44144-3820
(216) 904-9949
Mailing address
4616 IRA AVE., CLEVELAND, OH 44144-3820
(216) 904-9949
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.130163IV
OH
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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