Individual
CHARLA SUE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
228 DELANO STREET, MT VERNON, OH 43050
(740) 485-9847
Mailing address
228 DELANO ST, MOUNT VERNON, OH 43050-4563
(740) 485-9847
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
109798
OH
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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