Individual
BRIDGET DANENE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1545 E 254TH ST, EUCLID, OH 44117-1201
(216) 712-3929
Mailing address
1545 E 254TH ST, EUCLID, OH 44117-1201
(216) 712-3929
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN110583
OH
Other
Enumeration date
01/15/2018
Last updated
01/15/2018
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