Individual
MS. INDIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1849 FAIRMOUNT AVE, CINCINNATI, OH 45214-1265
(812) 977-7094
Mailing address
PO BOX 121304, COVINGTON, KY 41012-1304
(859) 466-6434
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/10/2019
Last updated
09/03/2022
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