Individual
MISS SHASA RAE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
551 CUYAHOGA ST, AKRON, OH 44310-1904
(330) 515-0080
Mailing address
551 CUYAHOGA ST, AKRON, OH 44310-1904
(330) 515-0080
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401616610214
OH
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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