Individual
ASHANTI MARIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1927 WILLARD AVE SE, WARREN, OH 44484-5060
(234) 232-4524
Mailing address
1927 WILLARD AVE SE, WARREN, OH 44484-5060
(234) 232-4524
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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