Individual
CHRISTINE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6801 MAYFIELD RD, MAYFIELD HEIGHTS, OH 44124-2270
(440) 449-8809
Mailing address
6414 FORDHAM DR, CLEVELAND, OH 44129-5242
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.005638RX
OH
363AS0400X
Surgical Physician Assistant
—
OH
Other
Enumeration date
08/23/2018
Last updated
04/30/2020
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