Individual
CATHY JOANNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3505 ADKISSON DR NW, CLEVELAND, TN 37312-6803
(423) 790-0568
(423) 790-0568
Mailing address
1011 GARY ST NW, CLEVELAND, TN 37311-4229
(423) 790-0538
(423) 790-0568
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
10000000026124
TN
Other
Enumeration date
03/31/2020
Last updated
03/31/2020
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