Individual
HEATHER JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
70 W WEST SALEM RD, WEST SALEM, OH 44287-9093
(330) 591-1697
Mailing address
70 W WEST SALEM RD, WEST SALEM, OH 44287-9093
(330) 591-1697
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.157720-M-IV
OH
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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