Individual
IZAIAH JAMAR JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5605 VIEW POINTE DRIVE, APT E, CINCINNATI, OH 45213
(513) 252-3687
Mailing address
5605 VIEW POINTE DRIVE, APT E, CINCINNATI, OH 45213
(513) 252-3687
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
174200000X
Meals Provider
—
—
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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