Individual
CIARA LYNN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5460 GLENRIDGE DR, TOLEDO, OH 43614-1608
(567) 249-6586
Mailing address
5460 GLENRIDGE DR, TOLEDO, OH 43614-1608
(567) 249-6586
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN-130017-M-IV
OH
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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