Individual
KYMBRENA DINETIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
693 E 131ST ST, CLEVELAND, OH 44108-2034
(419) 295-2929
Mailing address
PO BOX 35514, CLEVELAND, OH 44135-0514
(419) 295-2929
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/18/2022
Last updated
04/30/2022
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