Individual
EARNEST L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
574 CORKHILL RD APT 323, BEDFORD, OH 44146-3478
(216) 322-1644
Mailing address
574 CORKHILL RD APT 323, BEDFORD, OH 44146-3478
(216) 322-1644
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OH
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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