Individual
MRS. ARETHA MARIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1400 E 55TH ST, CLEVELAND, OH 44103-1304
(216) 391-6672
(216) 391-4633
Mailing address
3919 NORTHAMPTON RD, CLEVELAND HTS, OH 44121-2030
(216) 209-2336
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
108947
OH
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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