Individual
JADA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33001 VINE ST APT C6, WILLOWICK, OH 44095-3357
(216) 704-0218
Mailing address
33001 VINE ST APT C6, WILLOWICK, OH 44095-3357
(216) 704-0218
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
01/30/2024
Last updated
07/15/2024
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