Individual
JAQUALA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1652 MANHATTAN AVE, YOUNGSTOWN, OH 44509-1118
(330) 348-3425
Mailing address
1652 MANHATTAN AVE, YOUNGSTOWN, OH 44509-1118
(330) 348-3425
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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