Individual
CONSTANCE LAURIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23991 EFFINGHAM BLVD, EUCLID, OH 44117-1924
(216) 692-1366
Mailing address
23991 EFFINGHAM BLVD, EUCLID, OH 44117-1924
(216) 692-1366
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
OH
Other
Enumeration date
09/28/2023
Last updated
10/16/2023
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