Individual
ANNETTE M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMS
Contact information
Practice address
1400 E 55TH ST, CLEVELAND, OH 44103-1304
(216) 391-6672
Mailing address
621 QUILLIAMS RD, SOUTH EUCLID, OH 44121-1931
(618) 660-9282
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/27/2025
Last updated
06/27/2025
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