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Individual

SAVANNAH JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3190 W 98TH ST # UP, CLEVELAND, OH 44102-4647
(216) 314-8015
Mailing address
3190 W 98TH ST # UP, CLEVELAND, OH 44102-4647
(216) 314-8015

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401487960213
OH

Other

Enumeration date
11/12/2015
Last updated
11/12/2015
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