Individual
MRS. ANDREA JOHNSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
305 MCKINLEY AVE NW, CANTON CITY SCHOOLS, CANTON, OH 44702
(330) 438-2500
Mailing address
305 MCKINLEY AVE. N.W., CANTON CITY SCHOOLS, CANTON, OH 44702
(330) 438-2500
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
1526886
OH
Other
Enumeration date
05/14/2014
Last updated
05/14/2014
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