Individual
TONIKA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4933 MONTICELLO BLVD, RICHMOND HEIGHTS, OH 44143-2847
(216) 224-4113
Mailing address
4933 MONTICELLO BLVD, RICHMOND HEIGHTS, OH 44143-2847
(216) 224-4113
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
162776
OH
247ZC0005X
Clinical Laboratory Director (Non-physician)
36D2190656
OH
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0381772
—
OH
Enumeration date
09/17/2019
Last updated
02/26/2021
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