Individual
NICOLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6153 MILHAVEN AVE NW, CANAL FULTON, OH 44614-9651
(330) 777-9230
Mailing address
6153 MILHAVEN AVE NW, CANAL FULTON, OH 44614-9651
(330) 777-9230
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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