Individual
IRIS D JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4387 E 141ST ST, CLEVELAND, OH 44128-2352
(216) 394-3665
Mailing address
4387 E 141ST ST, CLEVELAND, OH 44128-2352
(216) 394-3665
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
0092683
OH
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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