Individual
VINCENT VESHAWN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9623 PARKVIEW AVE, CLEVELAND, OH 44104-4703
(216) 538-9802
Mailing address
9623 PARKVIEW AVE, CLEVELAND, OH 44104-4703
(380) 266-2409
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1629690920
OH
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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