Individual
SAMANTHA RENE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
99 2ND ST, CULLODEN, WV 25510-7686
(304) 824-5441
Mailing address
137 3RD ST, CULLODEN, WV 25510-7625
(304) 545-5233
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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